Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.19 / $3,238.43 / $20,680.40	Facility		$1,720.19	$3,238.43	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.33 / $1,720.19 / $3,238.43	Professional		$1,230.33	$1,720.19	$3,238.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,832.84 / $24,813.44	Facility		$55.00	$1,832.84	$24,813.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.59 / $3,197.79 / $11,818.43	Professional		$1,897.59	$3,197.79	$11,818.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.05 / $2,698.03 / $4,001.49	Professional		$1,711.05	$2,698.03	$4,001.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,295.49 / $2,810.24 / $3,493.82	Facility		$1,295.49	$2,810.24	$3,493.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,684.01 / $2,810.24 / $3,688.23	Professional		$1,684.01	$2,810.24	$3,688.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $377.88 / $2,880.24	Professional		$107.11	$377.88	$2,880.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,920.78 / $2,473.64 / $2,702.78	Facility		$1,920.78	$2,473.64	$2,702.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.84 / $1,832.84 / $1,843.54	Facility		$1,832.84	$1,832.84	$1,843.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,934.52 / $3,067.19 / $3,671.03	Professional		$1,934.52	$3,067.19	$3,671.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,869.25 / $2,651.95 / $3,572.11	Professional		$1,869.25	$2,651.95	$3,572.11
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 $1,674.96 / $2,413.44 / $3,891.92	Professional		$1,674.96	$2,413.44	$3,891.92