Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.53 / $3,408.15 / $20,680.40	Facility		$1,673.53	$3,408.15	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.41 / $1,673.53 / $3,408.15	Professional		$1,207.41	$1,673.53	$3,408.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,767.61 / $39,363.48	Facility		$55.00	$1,767.61	$39,363.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.72 / $3,049.56 / $12,784.00	Professional		$1,802.72	$3,049.56	$12,784.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,746.03 / $2,671.73 / $3,915.99	Professional		$1,746.03	$2,671.73	$3,915.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,248.68 / $2,760.80 / $3,352.94	Facility		$1,248.68	$2,760.80	$3,352.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,616.11 / $2,817.92 / $3,546.27	Professional		$1,616.11	$2,817.92	$3,546.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.06 / $1,564.60 / $3,020.52	Professional		$148.06	$1,564.60	$3,020.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,908.00 / $2,510.31 / $2,653.36	Facility		$1,908.00	$2,510.31	$2,653.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,767.61 / $1,767.61 / $1,800.58	Facility		$1,767.61	$1,767.61	$1,800.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,856.97 / $2,978.92 / $3,573.97	Professional		$1,856.97	$2,978.92	$3,573.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,802.72 / $2,590.16 / $3,488.87	Professional		$1,802.72	$2,590.16	$3,488.87
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 $1,622.00 / $2,561.58 / $3,794.65	Professional		$1,622.00	$2,561.58	$3,794.65