Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.07 / $2,951.78 / $20,680.40	Facility		$1,388.07	$2,951.78	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.63 / $1,388.07 / $2,951.78	Professional		$1,110.63	$1,388.07	$2,951.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,510.76 / $14,055.14	Facility		$55.00	$1,510.76	$14,055.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.67 / $2,635.34 / $9,837.00	Professional		$1,570.67	$2,635.34	$9,837.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,400.80 / $2,208.61 / $3,288.43	Professional		$1,400.80	$2,208.61	$3,288.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $2,355.52 / $2,874.11	Facility		$1,054.00	$2,355.52	$2,874.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,378.87 / $2,404.26 / $3,048.78	Professional		$1,378.87	$2,404.26	$3,048.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $982.10 / $2,441.13	Professional		$97.71	$982.10	$2,441.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,646.89 / $2,106.01 / $2,248.08	Facility		$1,646.89	$2,106.01	$2,248.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,510.76 / $1,510.76 / $1,525.92	Facility		$1,510.76	$1,510.76	$1,525.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,604.19 / $2,527.71 / $3,028.81	Professional		$1,604.19	$2,527.71	$3,028.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,540.77 / $2,195.06 / $2,956.68	Professional		$1,540.77	$2,195.06	$2,956.68
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 $1,452.01 / $2,032.91 / $3,207.38	Professional		$1,452.01	$2,032.91	$3,207.38