Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.52 / $2,981.32 / $20,680.40	Facility		$1,389.52	$2,981.32	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.69 / $1,389.52 / $2,981.32	Professional		$1,118.69	$1,389.52	$2,981.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,514.83 / $11,515.32	Facility		$55.00	$1,514.83	$11,515.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.93 / $2,597.39 / $11,843.00	Professional		$1,544.93	$2,597.39	$11,843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.55 / $2,212.44 / $3,290.93	Professional		$1,410.55	$2,212.44	$3,290.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,217.36 / $2,372.19 / $2,901.45	Facility		$1,217.36	$2,372.19	$2,901.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $2,405.36 / $3,066.71	Professional		$1,388.63	$2,405.36	$3,066.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $955.83 / $2,437.56	Professional		$94.77	$955.83	$2,437.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,683.15 / $2,110.02 / $2,283.36	Facility		$1,683.15	$2,110.02	$2,283.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,514.83 / $1,514.83 / $1,528.67	Facility		$1,514.83	$1,514.83	$1,528.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,608.54 / $2,534.56 / $3,034.25	Professional		$1,608.54	$2,534.56	$3,034.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,544.93 / $2,199.00 / $2,962.00	Professional		$1,544.93	$2,199.00	$2,962.00
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 $1,459.92 / $2,025.94 / $3,216.07	Professional		$1,459.92	$2,025.94	$3,216.07