Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.31 / $3,328.72 / $20,680.40	Facility		$1,633.31	$3,328.72	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.58 / $1,633.31 / $3,328.72	Professional		$1,164.58	$1,633.31	$3,328.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,727.74 / $23,639.20	Facility		$55.00	$1,727.74	$23,639.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,762.07 / $2,976.80 / $12,784.00	Professional		$1,762.07	$2,976.80	$12,784.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $2,548.80 / $3,820.31	Professional		$1,674.90	$2,548.80	$3,820.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,219.23 / $2,643.94 / $3,275.46	Facility		$1,219.23	$2,643.94	$3,275.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,578.76 / $2,643.94 / $3,468.01	Professional		$1,578.76	$2,643.94	$3,468.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.06 / $1,515.05 / $2,876.58	Professional		$148.06	$1,515.05	$2,876.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,857.59 / $2,446.48 / $2,580.60	Facility		$1,857.59	$2,446.48	$2,580.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,727.74 / $1,727.74 / $1,757.62	Facility		$1,727.74	$1,727.74	$1,757.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,821.25 / $2,908.16 / $3,488.71	Professional		$1,821.25	$2,908.16	$3,488.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,762.07 / $2,528.36 / $3,405.63	Professional		$1,762.07	$2,528.36	$3,405.63
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 $1,573.32 / $2,500.73 / $3,708.55	Professional		$1,573.32	$2,500.73	$3,708.55