Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.52 / $3,742.28 / $20,680.40	Facility		$1,831.52	$3,742.28	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.04 / $1,831.52 / $3,742.28	Professional		$1,335.04	$1,831.52	$3,742.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,941.11 / $43,114.24	Facility		$55.00	$1,941.11	$43,114.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,031.19 / $3,406.43 / $22,018.91	Professional		$2,031.19	$3,406.43	$22,018.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.33 / $2,861.73 / $4,285.85	Professional		$1,918.33	$2,861.73	$4,285.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,369.58 / $3,033.40 / $3,684.01	Facility		$1,369.58	$3,033.40	$3,684.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,775.68 / $3,096.16 / $3,916.64	Professional		$1,775.68	$3,096.16	$3,916.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $400.21 / $3,104.60	Professional		$107.11	$400.21	$3,104.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.36 / $2,744.41 / $2,913.80	Facility		$2,089.36	$2,744.41	$2,913.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,941.11 / $1,941.11 / $1,973.33	Facility		$1,941.11	$1,941.11	$1,973.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,054.37 / $3,267.30 / $3,916.86	Professional		$2,054.37	$3,267.30	$3,916.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,979.67 / $2,838.66 / $3,823.59	Professional		$1,979.67	$2,838.66	$3,823.59
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 $1,811.16 / $2,809.57 / $4,169.87	Professional		$1,811.16	$2,809.57	$4,169.87