Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.30 / $3,146.85 / $20,680.40	Facility		$1,495.30	$3,146.85	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.97 / $1,495.30 / $3,146.85	Professional		$1,186.97	$1,495.30	$3,146.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,629.89 / $15,151.18	Facility		$55.00	$1,629.89	$15,151.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.44 / $2,842.39 / $10,606.35	Professional		$1,693.44	$2,842.39	$10,606.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.67 / $2,381.65 / $3,544.06	Professional		$1,514.67	$2,381.65	$3,544.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,314.09 / $2,546.92 / $3,093.19	Facility		$1,314.09	$2,546.92	$3,093.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,490.91 / $2,592.21 / $3,295.37	Professional		$1,490.91	$2,592.21	$3,295.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $983.14 / $2,618.57	Professional		$102.84	$983.14	$2,618.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,798.95 / $2,270.30 / $2,446.64	Facility		$1,798.95	$2,270.30	$2,446.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,629.89 / $1,629.89 / $1,645.20	Facility		$1,629.89	$1,629.89	$1,645.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,730.23 / $2,726.30 / $3,265.56	Professional		$1,730.23	$2,726.30	$3,265.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,662.28 / $2,366.64 / $3,187.80	Professional		$1,662.28	$2,366.64	$3,187.80
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 $1,531.66 / $2,121.67 / $3,459.39	Professional		$1,531.66	$2,121.67	$3,459.39