Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.25 / $3,575.27 / $20,680.40	Facility		$1,797.25	$3,575.27	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.07 / $1,797.25 / $3,575.27	Professional		$1,318.07	$1,797.25	$3,575.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,912.57 / $34,071.66	Facility		$55.00	$1,912.57	$34,071.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.62 / $3,340.59 / $12,361.88	Professional		$1,984.62	$3,340.59	$12,361.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.89 / $2,817.76 / $4,188.95	Professional		$1,907.89	$2,817.76	$4,188.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,360.90 / $3,016.72 / $3,663.76	Facility		$1,360.90	$3,016.72	$3,663.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,765.92 / $3,063.68 / $3,895.71	Professional		$1,765.92	$3,063.68	$3,895.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $392.03 / $3,011.97	Professional		$107.11	$392.03	$3,011.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,025.45 / $2,686.03 / $2,853.96	Facility		$2,025.45	$2,686.03	$2,853.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,912.57 / $1,912.57 / $1,928.08	Facility		$1,912.57	$1,912.57	$1,928.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,033.49 / $3,204.15 / $3,834.96	Professional		$2,033.49	$3,204.15	$3,834.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,950.56 / $2,773.57 / $3,735.92	Professional		$1,950.56	$2,773.57	$3,735.92
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 $1,813.95 / $2,574.23 / $4,065.72	Professional		$1,813.95	$2,574.23	$4,065.72