Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.36 / $3,809.61 / $20,680.40	Facility		$1,616.36	$3,809.61	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.86 / $1,616.36 / $3,809.61	Professional		$1,275.86	$1,616.36	$3,809.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,760.81 / $16,392.97	Facility		$55.00	$1,760.81	$16,392.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.21 / $3,074.04 / $11,475.60	Professional		$1,832.21	$3,074.04	$11,475.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.64 / $2,621.11 / $3,834.59	Professional		$1,640.64	$2,621.11	$3,834.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,244.96 / $2,759.35 / $3,351.18	Facility		$1,244.96	$2,759.35	$3,351.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,615.26 / $2,803.67 / $3,569.76	Professional		$1,615.26	$2,803.67	$3,569.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $1,063.87 / $2,842.38	Professional		$102.84	$1,063.87	$2,842.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,993.27 / $2,458.17 / $2,840.80	Facility		$1,993.27	$2,458.17	$2,840.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.81 / $1,760.81 / $1,780.02	Facility		$1,760.81	$1,760.81	$1,780.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,871.24 / $2,948.49 / $3,533.15	Professional		$1,871.24	$2,948.49	$3,533.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,795.79 / $2,560.57 / $3,449.02	Professional		$1,795.79	$2,560.57	$3,449.02
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 $1,618.26 / $2,388.86 / $3,741.32	Professional		$1,618.26	$2,388.86	$3,741.32