Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.56 / $3,572.56 / $20,680.40	Facility		$1,700.56	$3,572.56	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,358.90 / $1,700.56 / $3,572.56	Professional		$1,358.90	$1,700.56	$3,572.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,854.13 / $14,096.07	Facility		$55.00	$1,854.13	$14,096.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.88 / $3,234.28 / $12,060.60	Professional		$1,899.88	$3,234.28	$12,060.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,724.86 / $2,708.54 / $4,028.81	Professional		$1,724.86	$2,708.54	$4,028.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,307.27 / $2,900.72 / $3,522.88	Facility		$1,307.27	$2,900.72	$3,522.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.02 / $2,945.58 / $3,750.89	Professional		$1,698.02	$2,945.58	$3,750.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $1,143.99 / $3,011.54	Professional		$102.84	$1,143.99	$3,011.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,973.85 / $2,581.71 / $2,783.24	Facility		$1,973.85	$2,581.71	$2,783.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,854.13 / $1,854.13 / $1,870.96	Facility		$1,854.13	$1,854.13	$1,870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,968.78 / $3,102.19 / $3,713.67	Professional		$1,968.78	$3,102.19	$3,713.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,890.97 / $2,691.40 / $3,625.24	Professional		$1,890.97	$2,691.40	$3,625.24
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 $1,745.38 / $2,416.31 / $3,936.34	Professional		$1,745.38	$2,416.31	$3,936.34