Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.57 / $2,951.60 / $20,680.40	Facility		$1,445.57	$2,951.60	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.58 / $1,445.57 / $2,951.60	Professional		$1,036.58	$1,445.57	$2,951.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,534.31 / $33,944.56	Facility		$55.00	$1,534.31	$33,944.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,564.79 / $2,640.88 / $11,932.00	Professional		$1,564.79	$2,640.88	$11,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.54 / $2,260.08 / $3,372.33	Professional		$1,514.54	$2,260.08	$3,372.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,080.04 / $2,394.67 / $2,908.29	Facility		$1,080.04	$2,394.67	$2,908.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.79 / $2,420.08 / $3,108.56	Professional		$1,401.79	$2,420.08	$3,108.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $320.81 / $2,424.22	Professional		$78.89	$320.81	$2,424.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,683.88 / $2,158.44 / $2,357.73	Facility		$1,683.88	$2,158.44	$2,357.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,534.31 / $1,534.31 / $1,554.26	Facility		$1,534.31	$1,534.31	$1,554.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,633.25 / $2,577.17 / $3,085.05	Professional		$1,633.25	$2,577.17	$3,085.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,564.79 / $2,235.82 / $3,011.59	Professional		$1,564.79	$2,235.82	$3,011.59
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 $1,452.50 / $2,066.46 / $3,270.15	Professional		$1,452.50	$2,066.46	$3,270.15