Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,585.50 / $3,405.00 / $20,680.40	Facility		$1,585.50	$3,405.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.54 / $1,585.50 / $3,405.00	Professional		$1,303.54	$1,585.50	$3,405.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,681.99 / $22,909.76	Facility		$55.00	$1,681.99	$22,909.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.59 / $2,947.11 / $15,065.15	Professional		$1,754.59	$2,947.11	$15,065.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,660.65 / $2,477.92 / $3,698.85	Professional		$1,660.65	$2,477.92	$3,698.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,295.18 / $2,625.95 / $3,189.17	Facility		$1,295.18	$2,625.95	$3,189.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,537.17 / $2,680.28 / $3,426.29	Professional		$1,537.17	$2,680.28	$3,426.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $1,470.83 / $2,791.40	Professional		$148.16	$1,470.83	$2,791.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,937.14 / $2,367.66 / $2,582.85	Facility		$1,937.14	$2,367.66	$2,582.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,681.99 / $1,681.99 / $1,704.61	Facility		$1,681.99	$1,681.99	$1,704.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,793.97 / $2,826.74 / $3,383.48	Professional		$1,793.97	$2,826.74	$3,383.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,715.41 / $2,452.10 / $3,302.91	Professional		$1,715.41	$2,452.10	$3,302.91
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 $1,581.33 / $2,619.44 / $3,586.84	Professional		$1,581.33	$2,619.44	$3,586.84