Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.69 / $3,139.79 / $20,680.40	Facility		$1,363.69	$3,139.79	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.24 / $1,363.69 / $3,139.79	Professional		$1,122.24	$1,363.69	$3,139.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,486.29 / $11,298.51	Facility		$55.00	$1,486.29	$11,298.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.82 / $2,540.27 / $10,151.00	Professional		$1,515.82	$2,540.27	$10,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,383.78 / $2,208.03 / $3,229.11	Professional		$1,383.78	$2,208.03	$3,229.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,195.35 / $2,327.25 / $2,850.30	Facility		$1,195.35	$2,327.25	$2,850.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,362.32 / $2,358.98 / $3,008.42	Professional		$1,362.32	$2,358.98	$3,008.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.92 / $1,428.76 / $2,472.84	Professional		$131.92	$1,428.76	$2,472.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,729.67 / $2,068.56 / $2,391.90	Facility		$1,729.67	$2,068.56	$2,391.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,486.29 / $1,486.29 / $1,499.87	Facility		$1,486.29	$1,486.29	$1,499.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,577.15 / $2,485.10 / $2,977.10	Professional		$1,577.15	$2,485.10	$2,977.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,515.82 / $2,157.58 / $2,906.21	Professional		$1,515.82	$2,157.58	$2,906.21
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 $1,387.48 / $2,180.86 / $3,222.46	Professional		$1,387.48	$2,180.86	$3,222.46