Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.10 / $3,330.41 / $20,680.40	Facility		$1,560.10	$3,330.41	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.65 / $1,560.10 / $3,330.41	Professional		$1,099.65	$1,560.10	$3,330.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,651.64 / $36,684.44	Facility		$55.00	$1,651.64	$36,684.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,727.78 / $2,898.72 / $13,448.23	Professional		$1,727.78	$2,898.72	$13,448.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,630.69 / $2,436.00 / $3,647.60	Professional		$1,630.69	$2,436.00	$3,647.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,164.98 / $2,509.63 / $3,131.05	Facility		$1,164.98	$2,509.63	$3,131.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,509.16 / $2,509.63 / $3,355.17	Professional		$1,509.16	$2,509.63	$3,355.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.31 / $2,643.11	Professional		$79.43	$338.31	$2,643.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,883.50 / $2,337.73 / $2,526.57	Facility		$1,883.50	$2,337.73	$2,526.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.64 / $1,651.64 / $1,678.56	Facility		$1,651.64	$1,651.64	$1,678.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,761.56 / $2,780.33 / $3,331.78	Professional		$1,761.56	$2,780.33	$3,331.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,684.45 / $2,414.63 / $3,252.44	Professional		$1,684.45	$2,414.63	$3,252.44
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 $1,533.00 / $2,187.21 / $3,527.94	Professional		$1,533.00	$2,187.21	$3,527.94