Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.64 / $3,051.57 / $20,680.40	Facility		$1,489.64	$3,051.57	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.17 / $1,489.64 / $3,051.57	Professional		$1,069.17	$1,489.64	$3,051.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,583.24 / $21,516.64	Facility		$55.00	$1,583.24	$21,516.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.69 / $2,705.13 / $11,761.00	Professional		$1,614.69	$2,705.13	$11,761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.55 / $2,334.21 / $3,474.05	Professional		$1,569.55	$2,334.21	$3,474.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,120.33 / $2,481.67 / $3,013.95	Facility		$1,120.33	$2,481.67	$3,013.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,452.72 / $2,516.82 / $3,218.67	Professional		$1,452.72	$2,516.82	$3,218.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $330.71 / $2,506.51	Professional		$79.43	$330.71	$2,506.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,672.49 / $2,233.10 / $2,376.60	Facility		$1,672.49	$2,233.10	$2,376.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,583.24 / $1,583.24 / $1,597.22	Facility		$1,583.24	$1,583.24	$1,597.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,683.87 / $2,653.26 / $3,175.61	Professional		$1,683.87	$2,653.26	$3,175.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,614.69 / $2,297.61 / $3,094.82	Professional		$1,614.69	$2,297.61	$3,094.82
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 $1,489.43 / $2,060.41 / $3,366.71	Professional		$1,489.43	$2,060.41	$3,366.71