Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.43 / $3,553.48 / $20,680.40	Facility		$1,466.43	$3,553.48	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.92 / $1,466.43 / $3,545.45	Professional		$1,169.92	$1,466.43	$3,545.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,598.64 / $12,158.55	Facility		$55.00	$1,598.64	$12,158.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,630.40 / $2,704.66 / $10,997.00	Professional		$1,630.40	$2,704.66	$10,997.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.72 / $2,375.12 / $3,474.88	Professional		$1,489.72	$2,375.12	$3,474.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,129.33 / $2,505.60 / $3,043.00	Facility		$1,129.33	$2,505.60	$3,043.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,466.72 / $2,537.42 / $3,239.77	Professional		$1,466.72	$2,537.42	$3,239.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $969.84 / $2,565.07	Professional		$102.84	$969.84	$2,565.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,939.87 / $2,248.61 / $2,671.75	Facility		$1,939.87	$2,248.61	$2,671.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,598.64 / $1,598.64 / $1,614.12	Facility		$1,598.64	$1,598.64	$1,614.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,696.43 / $2,673.04 / $3,203.88	Professional		$1,696.43	$2,673.04	$3,203.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,630.40 / $2,321.92 / $3,127.59	Professional		$1,630.40	$2,321.92	$3,127.59
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 $1,493.15 / $2,087.44 / $3,414.46	Professional		$1,493.15	$2,087.44	$3,414.46