Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.36 / $3,187.35 / $20,680.40	Facility		$1,579.36	$3,187.35	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.39 / $1,579.36 / $3,187.35	Professional		$1,127.39	$1,579.36	$3,187.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,679.27 / $22,811.20	Facility		$55.00	$1,679.27	$22,811.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.30 / $2,934.42 / $10,856.70	Professional		$1,743.30	$2,934.42	$10,856.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.54 / $2,475.46 / $3,682.48	Professional		$1,659.54	$2,475.46	$3,682.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,183.89 / $2,623.77 / $3,186.52	Facility		$1,183.89	$2,623.77	$3,186.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,535.90 / $2,635.15 / $3,403.40	Professional		$1,535.90	$2,635.15	$3,403.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $1,446.55 / $2,769.67	Professional		$148.16	$1,446.55	$2,769.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,801.73 / $2,365.75 / $2,483.02	Facility		$1,801.73	$2,365.75	$2,483.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,679.27 / $1,679.27 / $1,693.64	Facility		$1,679.27	$1,679.27	$1,693.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,785.53 / $2,814.57 / $3,368.68	Professional		$1,785.53	$2,814.57	$3,368.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,712.63 / $2,436.32 / $3,281.66	Professional		$1,712.63	$2,436.32	$3,281.66
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 $1,603.37 / $2,186.41 / $3,607.57	Professional		$1,603.37	$2,186.41	$3,607.57