Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.69 / $3,230.18 / $20,680.40	Facility		$1,561.69	$3,230.18	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.57 / $1,561.69 / $3,230.18	Professional		$1,149.57	$1,561.69	$3,230.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,679.27 / $15,703.60	Facility		$55.00	$1,679.27	$15,703.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,752.24 / $2,947.90 / $10,969.65	Professional		$1,752.24	$2,947.90	$10,969.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,557.79 / $2,463.25 / $3,682.39	Professional		$1,557.79	$2,463.25	$3,682.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,178.00 / $2,619.42 / $3,181.24	Facility		$1,178.00	$2,619.42	$3,181.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,533.35 / $2,673.62 / $3,407.46	Professional		$1,533.35	$2,673.62	$3,407.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $963.79 / $2,540.25	Professional		$102.91	$963.79	$2,540.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,816.43 / $2,191.05 / $2,495.75	Facility		$1,816.43	$2,191.05	$2,495.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,679.27 / $1,679.27 / $1,702.33	Facility		$1,679.27	$1,679.27	$1,702.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,794.46 / $2,827.50 / $3,384.16	Professional		$1,794.46	$2,827.50	$3,384.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,712.63 / $2,448.82 / $3,298.49	Professional		$1,712.63	$2,448.82	$3,298.49
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 $1,613.04 / $2,090.32 / $3,587.80	Professional		$1,613.04	$2,090.32	$3,587.80