Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.51 / $3,767.48 / $20,680.40	Facility		$1,836.51	$3,767.48	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.76 / $1,836.51 / $3,767.48	Professional		$1,322.76	$1,836.51	$3,767.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,973.27 / $27,142.40	Facility		$55.00	$1,973.27	$27,142.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.10 / $3,450.86 / $12,869.40	Professional		$2,027.10	$3,450.86	$12,869.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,825.53 / $2,917.63 / $4,380.87	Professional		$1,825.53	$2,917.63	$4,380.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,382.91 / $3,069.65 / $3,728.03	Facility		$1,382.91	$3,069.65	$3,728.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,796.90 / $3,126.84 / $3,943.03	Professional		$1,796.90	$3,126.84	$3,943.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $1,078.00 / $2,849.25	Professional		$103.05	$1,078.00	$2,849.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,066.39 / $2,475.01 / $2,950.68	Facility		$2,066.39	$2,475.01	$2,950.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,973.27 / $1,973.27 / $2,012.63	Facility		$1,973.27	$1,973.27	$2,012.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,071.64 / $3,309.92 / $3,994.87	Professional		$2,071.64	$3,309.92	$3,994.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,012.47 / $2,893.19 / $3,899.74	Professional		$2,012.47	$2,893.19	$3,899.74
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 $1,856.80 / $2,480.69 / $4,177.79	Professional		$1,856.80	$2,480.69	$4,177.79