Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,467.55 / $3,035.21 / $20,680.40	Facility		$1,467.55	$3,035.21	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.88 / $1,467.55 / $3,035.21	Professional		$1,042.88	$1,467.55	$3,035.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,557.87 / $21,195.68	Facility		$55.00	$1,557.87	$21,195.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.82 / $2,672.71 / $10,227.00	Professional		$1,588.82	$2,672.71	$10,227.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.86 / $2,297.73 / $3,423.01	Professional		$1,544.86	$2,297.73	$3,423.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,103.29 / $2,442.52 / $2,966.40	Facility		$1,103.29	$2,442.52	$2,966.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,429.80 / $2,460.86 / $3,148.60	Professional		$1,429.80	$2,460.86	$3,148.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $326.68 / $2,482.07	Professional		$79.43	$326.68	$2,482.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,675.31 / $2,201.27 / $2,315.19	Facility		$1,675.31	$2,201.27	$2,315.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,557.87 / $1,557.87 / $1,572.99	Facility		$1,557.87	$1,557.87	$1,572.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,649.70 / $2,613.69 / $3,128.25	Professional		$1,649.70	$2,613.69	$3,128.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,588.82 / $2,262.77 / $3,047.89	Professional		$1,588.82	$2,262.77	$3,047.89
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 $1,419.18 / $2,027.41 / $3,316.51	Professional		$1,419.18	$2,027.41	$3,316.51