Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.31 / $3,740.06 / $20,680.40	Facility		$1,781.31	$3,740.06	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.77 / $1,781.31 / $3,740.06	Professional		$1,371.77	$1,781.31	$3,740.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,926.61 / $26,098.40	Facility		$55.00	$1,926.61	$26,098.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,003.90 / $3,384.22 / $12,547.20	Professional		$2,003.90	$3,384.22	$12,547.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,800.87 / $2,820.99 / $4,201.38	Professional		$1,800.87	$2,820.99	$4,201.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,362.76 / $3,028.32 / $3,677.84	Facility		$1,362.76	$3,028.32	$3,677.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,772.71 / $3,090.98 / $3,929.33	Professional		$1,772.71	$3,090.98	$3,929.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $392.77 / $3,023.24	Professional		$107.11	$392.77	$3,023.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,135.78 / $2,674.98 / $2,880.33	Facility		$2,135.78	$2,674.98	$2,880.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,926.61 / $1,926.61 / $1,946.82	Facility		$1,926.61	$1,926.61	$1,946.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.05 / $3,246.00 / $3,885.05	Professional		$2,060.05	$3,246.00	$3,885.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,964.89 / $2,800.52 / $3,772.23	Professional		$1,964.89	$2,800.52	$3,772.23
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 $1,858.12 / $2,533.80 / $4,118.83	Professional		$1,858.12	$2,533.80	$4,118.83