Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,822.14 / $3,726.69 / $20,680.40	Facility		$1,822.14	$3,726.69	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.65 / $1,822.14 / $3,726.69	Professional		$1,336.65	$1,822.14	$3,726.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,937.93 / $26,324.00	Facility		$55.00	$1,937.93	$26,324.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,012.37 / $3,385.01 / $12,534.15	Professional		$2,012.37	$3,385.01	$12,534.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,809.01 / $2,855.14 / $4,247.97	Professional		$1,809.01	$2,855.14	$4,247.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,371.44 / $3,041.37 / $3,693.69	Facility		$1,371.44	$3,041.37	$3,693.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,780.35 / $3,086.07 / $3,966.69	Professional		$1,780.35	$3,086.07	$3,966.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $395.31 / $3,072.09	Professional		$107.11	$395.31	$3,072.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.68 / $2,729.34 / $2,893.40	Facility		$2,041.68	$2,729.34	$2,893.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,937.93 / $1,937.93 / $1,955.05	Facility		$1,937.93	$1,937.93	$1,955.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.53 / $3,246.76 / $3,885.96	Professional		$2,060.53	$3,246.76	$3,885.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,976.44 / $2,812.36 / $3,788.17	Professional		$1,976.44	$2,812.36	$3,788.17
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 $1,842.50 / $2,527.19 / $4,119.80	Professional		$1,842.50	$2,527.19	$4,119.80