Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.90 / $3,490.48 / $20,680.40	Facility		$1,701.90	$3,490.48	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.00 / $1,701.90 / $3,490.48	Professional		$1,238.00	$1,701.90	$3,490.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,812.91 / $24,723.52	Facility		$55.00	$1,812.91	$24,723.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.92 / $3,073.44 / $11,930.40	Professional		$1,848.92	$3,073.44	$11,930.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.89 / $2,672.91 / $3,992.96	Professional		$1,680.89	$2,672.91	$3,992.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,275.96 / $2,826.05 / $3,432.18	Facility		$1,275.96	$2,826.05	$3,432.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,654.31 / $2,878.99 / $3,690.81	Professional		$1,654.31	$2,878.99	$3,690.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $375.37 / $2,875.50	Professional		$106.21	$375.37	$2,875.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,029.38 / $2,554.04 / $2,696.20	Facility		$2,029.38	$2,554.04	$2,696.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,812.91 / $1,812.91 / $1,837.60	Facility		$1,812.91	$1,812.91	$1,837.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,927.74 / $3,037.51 / $3,647.45	Professional		$1,927.74	$3,037.51	$3,647.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,848.92 / $2,643.40 / $3,560.60	Professional		$1,848.92	$2,643.40	$3,560.60
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 $1,699.88 / $2,345.40 / $3,854.29	Professional		$1,699.88	$2,345.40	$3,854.29