Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.41 / $4,205.62 / $20,680.40	Facility		$1,746.41	$4,205.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,398.30 / $1,746.41 / $4,205.62	Professional		$1,398.30	$1,746.41	$4,205.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,905.77 / $25,751.36	Facility		$55.00	$1,905.77	$25,751.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.61 / $3,322.34 / $12,400.13	Professional		$1,951.61	$3,322.34	$12,400.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.93 / $2,824.56 / $4,139.54	Professional		$1,771.93	$2,824.56	$4,139.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,527.37 / $2,979.75 / $3,618.85	Facility		$1,527.37	$2,979.75	$3,618.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,744.28 / $3,024.26 / $3,852.22	Professional		$1,744.28	$3,024.26	$3,852.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $1,171.48 / $3,115.69	Professional		$104.95	$1,171.48	$3,115.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,286.83 / $2,718.90 / $3,178.72	Facility		$2,286.83	$2,718.90	$3,178.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.77 / $1,905.77 / $1,923.06	Facility		$1,905.77	$1,905.77	$1,923.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,022.39 / $3,186.65 / $3,817.08	Professional		$2,022.39	$3,186.65	$3,817.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,943.63 / $2,766.34 / $3,726.18	Professional		$1,943.63	$2,766.34	$3,726.18
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 $1,834.97 / $2,740.22 / $4,129.29	Professional		$1,834.97	$2,740.22	$4,129.29