Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.03 / $3,117.29 / $20,680.40	Facility		$1,501.03	$3,117.29	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.78 / $1,501.03 / $3,117.29	Professional		$1,148.78	$1,501.03	$3,117.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,552.43 / $11,795.22	Facility		$55.00	$1,552.43	$11,795.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.27 / $2,636.00 / $10,151.00	Professional		$1,583.27	$2,636.00	$10,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.05 / $2,267.25 / $3,371.18	Professional		$1,500.05	$2,267.25	$3,371.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,161.57 / $2,475.23 / $3,063.25	Facility		$1,161.57	$2,475.23	$3,063.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.48 / $2,475.23 / $3,272.05	Professional		$1,476.48	$2,475.23	$3,272.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $976.28 / $2,519.32	Professional		$94.77	$976.28	$2,519.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,822.81 / $2,159.94 / $2,412.00	Facility		$1,822.81	$2,159.94	$2,412.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,552.43 / $1,552.43 / $1,565.68	Facility		$1,552.43	$1,552.43	$1,565.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,646.69 / $2,594.67 / $3,107.72	Professional		$1,646.69	$2,594.67	$3,107.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,583.27 / $2,252.25 / $3,033.72	Professional		$1,583.27	$2,252.25	$3,033.72
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 $1,556.72 / $1,981.28 / $3,292.35	Professional		$1,556.72	$1,981.28	$3,292.35