Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,745.16 / $3,566.11 / $20,680.40	Facility		$1,745.16	$3,566.11	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.18 / $1,745.16 / $3,566.11	Professional		$1,259.18	$1,745.16	$3,566.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,850.05 / $41,079.22	Facility		$55.00	$1,850.05	$41,079.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.70 / $3,244.60 / $19,381.65	Professional		$1,935.70	$3,244.60	$19,381.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,827.96 / $2,726.99 / $4,082.96	Professional		$1,827.96	$2,726.99	$4,082.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,304.79 / $2,890.57 / $3,510.55	Facility		$1,304.79	$2,890.57	$3,510.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,692.08 / $2,914.97 / $3,761.03	Professional		$1,692.08	$2,914.97	$3,761.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $383.03 / $2,936.83	Professional		$107.11	$383.03	$2,936.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,068.82 / $2,613.71 / $2,777.12	Facility		$2,068.82	$2,613.71	$2,777.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,850.05 / $1,850.05 / $1,880.56	Facility		$1,850.05	$1,850.05	$1,880.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,975.06 / $3,112.08 / $3,732.72	Professional		$1,975.06	$3,112.08	$3,732.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,886.81 / $2,705.20 / $3,643.83	Professional		$1,886.81	$2,705.20	$3,643.83
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 $1,744.50 / $2,411.40 / $3,948.91	Professional		$1,744.50	$2,411.40	$3,948.91