Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.71 / $3,083.42 / $20,680.40	Facility		$1,514.71	$3,083.42	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.96 / $1,514.71 / $3,083.42	Professional		$1,059.96	$1,514.71	$3,083.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,600.45 / $21,924.48	Facility		$55.00	$1,600.45	$21,924.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,677.45 / $2,811.46 / $10,482.53	Professional		$1,677.45	$2,811.46	$10,482.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.94 / $2,362.17 / $3,544.36	Professional		$1,579.94	$2,362.17	$3,544.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,129.95 / $2,444.87 / $3,034.20	Facility		$1,129.95	$2,444.87	$3,034.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.48 / $2,444.87 / $3,228.68	Professional		$1,462.48	$2,444.87	$3,228.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $332.00 / $2,565.58	Professional		$78.89	$332.00	$2,565.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,719.90 / $2,270.56 / $2,389.52	Facility		$1,719.90	$2,270.56	$2,389.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,600.45 / $1,600.45 / $1,629.66	Facility		$1,600.45	$1,600.45	$1,629.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,692.47 / $2,696.63 / $3,234.72	Professional		$1,692.47	$2,696.63	$3,234.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,632.25 / $2,344.29 / $3,157.69	Professional		$1,632.25	$2,344.29	$3,157.69
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 $1,507.53 / $2,081.40 / $3,421.73	Professional		$1,507.53	$2,081.40	$3,421.73