Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.51 / $3,382.32 / $20,680.40	Facility		$1,658.51	$3,382.32	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.76 / $1,658.51 / $3,382.32	Professional		$1,150.76	$1,658.51	$3,382.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,754.92 / $24,012.64	Facility		$55.00	$1,754.92	$24,012.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,789.79 / $3,024.02 / $12,784.00	Professional		$1,789.79	$3,024.02	$12,784.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $2,588.71 / $3,880.44	Professional		$1,674.90	$2,588.71	$3,880.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,238.76 / $2,691.91 / $3,329.17	Facility		$1,238.76	$2,691.91	$3,329.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,604.65 / $2,691.91 / $3,502.59	Professional		$1,604.65	$2,691.91	$3,502.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.06 / $1,526.41 / $2,938.64	Professional		$148.06	$1,526.41	$2,938.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,887.48 / $2,485.73 / $2,620.71	Facility		$1,887.48	$2,485.73	$2,620.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,754.92 / $1,754.92 / $1,785.50	Facility		$1,754.92	$1,754.92	$1,785.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,837.85 / $2,954.57 / $3,544.04	Professional		$1,837.85	$2,954.57	$3,544.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,789.79 / $2,568.46 / $3,459.65	Professional		$1,789.79	$2,568.46	$3,459.65
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 $1,650.99 / $2,284.19 / $3,749.04	Professional		$1,650.99	$2,284.19	$3,749.04