Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $20,680.40	Facility		$1,733.00	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.71 / $1,685.77 / $3,723.60	Professional		$1,168.71	$1,685.77	$3,723.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,753.51 / $23,784.64	Facility		$55.00	$1,753.51	$23,784.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.84 / $3,109.84 / $11,068.80	Professional		$1,837.84	$3,109.84	$11,068.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.08 / $2,650.22 / $3,829.26	Professional		$1,689.08	$2,650.22	$3,829.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,277.51 / $2,839.82 / $3,250.52	Facility		$1,277.51	$2,839.82	$3,250.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,627.04 / $2,855.81 / $3,448.91	Professional		$1,627.04	$2,855.81	$3,448.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.46 / $1,962.43 / $3,202.69	Professional		$318.46	$1,962.43	$3,202.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,842.07 / $2,452.21 / $2,661.24	Facility		$1,842.07	$2,452.21	$2,661.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,753.51 / $1,753.51 / $1,802.03	Facility		$1,753.51	$1,753.51	$1,802.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,804.92 / $2,969.84 / $3,595.44	Professional		$1,804.92	$2,969.84	$3,595.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,837.84 / $2,522.44 / $3,397.66	Professional		$1,837.84	$2,522.44	$3,397.66
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 $1,673.18 / $2,207.51 / $3,811.81	Professional		$1,673.18	$2,207.51	$3,811.81