Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.02 / $3,554.38 / $20,680.40	Facility		$1,742.02	$3,554.38	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.10 / $1,742.02 / $3,554.38	Professional		$1,261.10	$1,742.02	$3,554.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,850.05 / $33,276.81	Facility		$55.00	$1,850.05	$33,276.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,886.81 / $3,193.52 / $13,125.00	Professional		$1,886.81	$3,193.52	$13,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,822.07 / $2,727.17 / $4,094.28	Professional		$1,822.07	$2,727.17	$4,094.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,300.45 / $2,881.15 / $3,499.10	Facility		$1,300.45	$2,881.15	$3,499.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,686.56 / $2,921.37 / $3,751.93	Professional		$1,686.56	$2,921.37	$3,751.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $380.92 / $2,933.84	Professional		$107.11	$380.92	$2,933.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,013.00 / $2,603.85 / $2,764.42	Facility		$2,013.00	$2,603.85	$2,764.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,850.05 / $1,850.05 / $1,885.58	Facility		$1,850.05	$1,850.05	$1,885.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,966.85 / $3,099.15 / $3,742.69	Professional		$1,966.85	$3,099.15	$3,742.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,886.81 / $2,708.95 / $3,653.57	Professional		$1,886.81	$2,708.95	$3,653.57
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 $1,729.03 / $2,412.60 / $3,932.50	Professional		$1,729.03	$2,412.60	$3,932.50