Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.35 / $3,156.12 / $20,680.40	Facility		$1,495.35	$3,156.12	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.81 / $1,495.35 / $3,156.12	Professional		$1,198.81	$1,495.35	$3,156.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,631.25 / $15,154.92	Facility		$55.00	$1,631.25	$15,154.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,663.66 / $2,772.00 / $10,997.00	Professional		$1,663.66	$2,772.00	$10,997.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.47 / $2,382.19 / $3,543.62	Professional		$1,519.47	$2,382.19	$3,543.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,151.33 / $2,555.62 / $3,103.76	Facility		$1,151.33	$2,555.62	$3,103.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.01 / $2,588.71 / $3,303.44	Professional		$1,496.01	$2,588.71	$3,303.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $985.56 / $2,616.10	Professional		$102.84	$985.56	$2,616.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,907.47 / $2,269.17 / $2,448.67	Facility		$1,907.47	$2,269.17	$2,448.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,631.25 / $1,631.25 / $1,646.11	Facility		$1,631.25	$1,631.25	$1,646.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,731.20 / $2,727.83 / $3,267.37	Professional		$1,731.20	$2,727.83	$3,267.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,663.66 / $2,367.94 / $3,189.57	Professional		$1,663.66	$2,367.94	$3,189.57
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 $1,570.72 / $2,128.05 / $3,461.33	Professional		$1,570.72	$2,128.05	$3,461.33