Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,782.36 / $3,650.12 / $20,680.40	Facility		$1,782.36	$3,650.12	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.86 / $1,782.36 / $3,650.12	Professional		$1,287.86	$1,782.36	$3,650.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,893.99 / $25,783.52	Facility		$55.00	$1,893.99	$25,783.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.21 / $3,317.58 / $16,540.23	Professional		$1,975.21	$3,317.58	$16,540.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.84 / $2,788.97 / $4,161.32	Professional		$1,760.84	$2,788.97	$4,161.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,334.55 / $2,960.90 / $3,595.96	Facility		$1,334.55	$2,960.90	$3,595.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,733.24 / $2,999.72 / $3,841.11	Professional		$1,733.24	$2,999.72	$3,841.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $390.41 / $3,014.99	Professional		$107.11	$390.41	$3,014.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,039.87 / $2,662.49 / $2,843.08	Facility		$2,039.87	$2,662.49	$2,843.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,893.99 / $1,893.99 / $1,918.94	Facility		$1,893.99	$1,893.99	$1,918.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,018.65 / $3,182.08 / $3,808.91	Professional		$2,018.65	$3,182.08	$3,808.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,931.62 / $2,760.42 / $3,718.21	Professional		$1,931.62	$2,760.42	$3,718.21
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 $1,775.13 / $2,418.63 / $4,037.72	Professional		$1,775.13	$2,418.63	$4,037.72