Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.72 / $3,403.03 / $20,680.40	Facility		$1,616.72	$3,403.03	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.75 / $1,616.72 / $3,403.03	Professional		$1,292.75	$1,616.72	$3,403.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,763.53 / $23,832.80	Facility		$55.00	$1,763.53	$23,832.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.44 / $3,076.42 / $11,474.03	Professional		$1,827.44	$3,076.42	$11,474.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $2,611.07 / $3,831.72	Professional		$1,674.90	$2,611.07	$3,831.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,232.56 / $2,757.17 / $3,348.54	Facility		$1,232.56	$2,757.17	$3,348.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,613.99 / $2,801.57 / $3,565.27	Professional		$1,613.99	$2,801.57	$3,565.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $1,042.01 / $2,781.59	Professional		$103.05	$1,042.01	$2,781.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,914.14 / $2,454.56 / $2,688.12	Facility		$1,914.14	$2,454.56	$2,688.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.53 / $1,763.53 / $1,779.56	Facility		$1,763.53	$1,763.53	$1,779.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,872.69 / $2,950.77 / $3,532.25	Professional		$1,872.69	$2,950.77	$3,532.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,798.57 / $2,559.92 / $3,448.14	Professional		$1,798.57	$2,559.92	$3,448.14
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 $1,697.97 / $2,392.59 / $3,744.22	Professional		$1,697.97	$2,392.59	$3,744.22