Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,842.40 / $3,763.23 / $20,680.40	Facility		$1,842.40	$3,763.23	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.32 / $1,842.40 / $3,763.23	Professional		$1,323.32	$1,842.40	$3,763.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,952.43 / $31,681.36	Facility		$55.00	$1,952.43	$31,681.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,991.22 / $3,371.56 / $18,750.00	Professional		$1,991.22	$3,371.56	$18,750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.23 / $2,878.32 / $4,309.49	Professional		$1,929.23	$2,878.32	$4,309.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,377.33 / $3,050.07 / $3,704.26	Facility		$1,377.33	$3,050.07	$3,704.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,785.45 / $3,061.28 / $3,965.78	Professional		$1,785.45	$3,061.28	$3,965.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $400.21 / $3,104.60	Professional		$107.11	$400.21	$3,104.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,114.80 / $2,761.44 / $2,930.80	Facility		$2,114.80	$2,761.44	$2,930.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,952.43 / $1,952.43 / $1,984.29	Facility		$1,952.43	$1,952.43	$1,984.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,082.57 / $3,284.81 / $3,938.63	Professional		$2,082.57	$3,284.81	$3,938.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,991.22 / $2,854.43 / $3,844.84	Professional		$1,991.22	$2,854.43	$3,844.84
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 $1,822.34 / $2,787.85 / $4,168.06	Professional		$1,822.34	$2,787.85	$4,168.06