Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,805.12 / $3,685.43 / $20,680.40	Facility		$1,805.12	$3,685.43	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.85 / $1,805.12 / $3,685.43	Professional		$1,283.85	$1,805.12	$3,685.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,921.17 / $26,069.60	Facility		$55.00	$1,921.17	$26,069.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,993.08 / $3,353.28 / $12,414.90	Professional		$1,993.08	$3,353.28	$12,414.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.49 / $2,830.19 / $4,206.68	Professional		$1,787.49	$2,830.19	$4,206.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,354.70 / $2,978.93 / $3,649.67	Facility		$1,354.70	$2,978.93	$3,649.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,759.13 / $2,978.93 / $3,886.61	Professional		$1,759.13	$2,978.93	$3,886.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $392.23 / $3,049.00	Professional		$107.11	$392.23	$3,049.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,020.85 / $2,701.24 / $2,866.88	Facility		$2,020.85	$2,701.24	$2,866.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.17 / $1,921.17 / $1,936.31	Facility		$1,921.17	$1,921.17	$1,936.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,040.27 / $3,216.32 / $3,849.53	Professional		$2,040.27	$3,216.32	$3,849.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,959.34 / $2,785.40 / $3,751.86	Professional		$1,959.34	$2,785.40	$3,751.86
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 $1,751.40 / $2,502.01 / $4,081.17	Professional		$1,751.40	$2,502.01	$4,081.17