Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.15 / $2,847.13 / $20,680.40	Facility		$1,401.15	$2,847.13	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.26 / $1,401.15 / $2,847.13	Professional		$1,016.26	$1,401.15	$2,847.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,487.20 / $20,218.72	Facility		$55.00	$1,487.20	$20,218.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.75 / $2,550.03 / $12,102.00	Professional		$1,516.75	$2,550.03	$12,102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.58 / $2,192.92 / $3,264.71	Professional		$1,473.58	$2,192.92	$3,264.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,052.14 / $2,318.55 / $2,829.92	Facility		$1,052.14	$2,318.55	$2,829.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,364.02 / $2,318.55 / $3,043.39	Professional		$1,364.02	$2,318.55	$3,043.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $309.80 / $2,360.00	Professional		$78.85	$309.80	$2,360.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,690.99 / $2,098.26 / $2,218.84	Facility		$1,690.99	$2,098.26	$2,218.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.20 / $1,487.20 / $1,500.79	Facility		$1,487.20	$1,487.20	$1,500.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,581.01 / $2,491.19 / $2,981.63	Professional		$1,581.01	$2,491.19	$2,981.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,516.75 / $2,158.90 / $2,907.98	Professional		$1,516.75	$2,158.90	$2,907.98
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 $1,355.76 / $2,143.05 / $3,195.71	Professional		$1,355.76	$2,143.05	$3,195.71