Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.52 / $3,597.39 / $20,680.40	Facility		$1,671.52	$3,597.39	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.22 / $1,671.52 / $3,597.39	Professional		$1,217.22	$1,671.52	$3,597.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,773.95 / $24,166.24	Facility		$55.00	$1,773.95	$24,166.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,851.02 / $3,110.53 / $11,572.43	Professional		$1,851.02	$3,110.53	$11,572.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $2,613.06 / $3,901.03	Professional		$1,674.90	$2,613.06	$3,901.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,255.19 / $2,770.95 / $3,365.27	Facility		$1,255.19	$2,770.95	$3,365.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,622.05 / $2,828.28 / $3,614.59	Professional		$1,622.05	$2,828.28	$3,614.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $373.21 / $2,832.08	Professional		$107.11	$373.21	$2,832.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,021.25 / $2,496.77 / $2,729.58	Facility		$2,021.25	$2,496.77	$2,729.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,773.95 / $1,773.95 / $1,798.30	Facility		$1,773.95	$1,773.95	$1,798.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,893.45 / $2,983.49 / $3,570.85	Professional		$1,893.45	$2,983.49	$3,570.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,809.19 / $2,586.87 / $3,484.44	Professional		$1,809.19	$2,586.87	$3,484.44
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 $1,698.84 / $2,393.83 / $3,785.74	Professional		$1,698.84	$2,393.83	$3,785.74