Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.96 / $3,528.60 / $20,680.40	Facility		$1,711.96	$3,528.60	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.38 / $1,711.96 / $3,528.60	Professional		$1,302.38	$1,711.96	$3,528.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,819.25 / $24,728.80	Facility		$55.00	$1,819.25	$24,728.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,890.07 / $3,179.55 / $12,548.98	Professional		$1,890.07	$3,179.55	$12,548.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,697.56 / $2,681.14 / $3,991.39	Professional		$1,697.56	$2,681.14	$3,991.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,287.74 / $2,854.32 / $3,466.52	Facility		$1,287.74	$2,854.32	$3,466.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,670.86 / $2,888.59 / $3,724.89	Professional		$1,670.86	$2,888.59	$3,724.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.92 / $1,568.21 / $3,018.88	Professional		$147.92	$1,568.21	$3,018.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,964.90 / $2,564.48 / $2,715.92	Facility		$1,964.90	$2,564.48	$2,715.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.25 / $1,819.25 / $1,836.23	Facility		$1,819.25	$1,819.25	$1,836.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,935.46 / $3,049.69 / $3,650.09	Professional		$1,935.46	$3,049.69	$3,650.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,855.39 / $2,641.44 / $3,557.94	Professional		$1,855.39	$2,641.44	$3,557.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,660.68 / $2,342.64 / $3,869.73	Professional		$1,660.68	$2,342.64	$3,869.73