Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.82 / $3,591.37 / $20,680.40	Facility		$1,757.82	$3,591.37	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.17 / $1,757.82 / $3,591.37	Professional		$1,323.17	$1,757.82	$3,591.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,864.10 / $25,451.84	Facility		$55.00	$1,864.10	$25,451.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,948.87 / $3,269.19 / $16,901.89	Professional		$1,948.87	$3,269.19	$16,901.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.01 / $2,747.19 / $4,110.68	Professional		$1,731.01	$2,747.19	$4,110.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,313.78 / $2,891.79 / $3,534.32	Facility		$1,313.78	$2,891.79	$3,534.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,703.54 / $2,891.79 / $3,782.87	Professional		$1,703.54	$2,891.79	$3,782.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $383.03 / $2,970.11	Professional		$107.11	$383.03	$2,970.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,005.57 / $2,632.56 / $2,798.20	Facility		$2,005.57	$2,632.56	$2,798.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,864.10 / $1,864.10 / $1,893.35	Facility		$1,864.10	$1,864.10	$1,893.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,987.16 / $3,135.67 / $3,758.12	Professional		$1,987.16	$3,135.67	$3,758.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,901.13 / $2,723.61 / $3,668.63	Professional		$1,901.13	$2,723.61	$3,668.63
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 $1,740.22 / $2,428.21 / $3,978.82	Professional		$1,740.22	$2,428.21	$3,978.82