Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.86 / $4,147.05 / $20,680.40	Facility		$1,693.86	$4,147.05	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.64 / $1,693.86 / $4,073.90	Professional		$1,446.64	$1,693.86	$4,073.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,815.62 / $24,499.36	Facility		$55.00	$1,815.62	$24,499.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.41 / $3,141.35 / $11,689.43	Professional		$1,858.41	$3,141.35	$11,689.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.27 / $2,743.08 / $3,944.00	Professional		$2,004.27	$2,743.08	$3,944.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,514.66 / $3,268.24 / $4,154.63	Facility		$1,514.66	$3,268.24	$4,154.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,973.03 / $3,268.24 / $4,154.63	Professional		$1,973.03	$3,268.24	$4,154.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.91 / $2,049.48 / $3,316.72	Professional		$331.91	$2,049.48	$3,316.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,193.40 / $2,659.62 / $3,126.22	Facility		$2,193.40	$2,659.62	$3,126.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,815.62 / $1,815.62 / $1,822.52	Facility		$1,815.62	$1,815.62	$1,822.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,925.81 / $3,034.47 / $3,631.87	Professional		$1,925.81	$3,034.47	$3,631.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,851.70 / $2,621.72 / $3,531.37	Professional		$1,851.70	$2,621.72	$3,531.37
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 $1,739.04 / $2,635.05 / $3,850.41	Professional		$1,739.04	$2,635.05	$3,850.41