Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.92 / $3,029.56 / $20,680.40	Facility		$1,486.92	$3,029.56	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.92 / $1,486.92 / $3,029.56	Professional		$1,059.92	$1,486.92	$3,029.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,573.27 / $21,532.64	Facility		$55.00	$1,573.27	$21,532.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.53 / $2,720.08 / $11,932.00	Professional		$1,604.53	$2,720.08	$11,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.77 / $2,321.07 / $3,479.82	Professional		$1,552.77	$2,321.07	$3,479.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,109.49 / $2,454.85 / $2,981.37	Facility		$1,109.49	$2,454.85	$2,981.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,437.01 / $2,485.64 / $3,171.35	Professional		$1,437.01	$2,485.64	$3,171.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $328.39 / $2,506.51	Professional		$78.89	$328.39	$2,506.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,725.59 / $2,228.85 / $2,361.64	Facility		$1,725.59	$2,228.85	$2,361.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,573.27 / $1,573.27 / $1,600.87	Facility		$1,573.27	$1,573.27	$1,600.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,662.86 / $2,650.21 / $3,177.57	Professional		$1,662.86	$2,650.21	$3,177.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,604.53 / $2,302.88 / $3,101.91	Professional		$1,604.53	$2,302.88	$3,101.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $16,613.00 / $43,830.00	Facility		$3,960.00	$16,613.00	$43,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.88 / $1,974.93 / $3,362.84	Professional		$1,433.88	$1,974.93	$3,362.84