Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.07 / $3,160.09 / $20,680.40	Facility		$1,628.07	$3,160.09	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.69 / $1,628.07 / $3,160.09	Professional		$1,094.69	$1,628.07	$3,160.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,641.67 / $18,224.57	Facility		$55.00	$1,641.67	$18,224.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,735.71 / $3,014.56 / $10,730.48	Professional		$1,735.71	$3,014.56	$10,730.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,523.52 / $2,476.02 / $3,623.53	Professional		$1,523.52	$2,476.02	$3,623.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,490.16 / $2,561.42 / $3,110.80	Facility		$1,490.16	$2,561.42	$3,110.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,499.40 / $2,561.42 / $3,110.80	Professional		$1,499.40	$2,561.42	$3,110.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $423.96 / $2,547.96	Professional		$127.57	$423.96	$2,547.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,736.45 / $2,321.89 / $2,445.50	Facility		$1,736.45	$2,321.89	$2,445.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,641.67 / $1,641.67 / $1,668.05	Facility		$1,641.67	$1,641.67	$1,668.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,753.89 / $2,782.40 / $3,421.15	Professional		$1,753.89	$2,782.40	$3,421.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,674.29 / $2,399.51 / $3,232.08	Professional		$1,674.29	$2,399.51	$3,232.08
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.84 / $2,488.81 / $3,506.69	Professional		$1,566.84	$2,488.81	$3,506.69