Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.06 / $3,755.85 / $20,680.40	Facility		$1,826.06	$3,755.85	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.40 / $1,826.06 / $3,755.85	Professional		$1,310.40	$1,826.06	$3,755.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,942.46 / $26,381.12	Facility		$55.00	$1,942.46	$26,381.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.60 / $3,392.94 / $12,560.85	Professional		$2,016.60	$3,392.94	$12,560.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.79 / $2,862.39 / $4,257.85	Professional		$1,807.79	$2,862.39	$4,257.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,370.82 / $3,039.20 / $3,691.05	Facility		$1,370.82	$3,039.20	$3,691.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,779.08 / $3,074.07 / $3,936.66	Professional		$1,779.08	$3,074.07	$3,936.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $398.54 / $3,104.40	Professional		$107.11	$398.54	$3,104.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,085.92 / $2,734.36 / $2,897.48	Facility		$2,085.92	$2,734.36	$2,897.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.46 / $1,942.46 / $1,959.16	Facility		$1,942.46	$1,942.46	$1,959.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,065.36 / $3,254.37 / $3,895.06	Professional		$2,065.36	$3,254.37	$3,895.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,981.06 / $2,818.27 / $3,796.14	Professional		$1,981.06	$2,818.27	$3,796.14
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 $1,805.26 / $2,798.45 / $4,172.85	Professional		$1,805.26	$2,798.45	$4,172.85