Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,832.55 / $3,849.68 / $20,680.40	Facility		$1,832.55	$3,849.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.82 / $1,832.55 / $3,849.68	Professional		$1,494.82	$1,832.55	$3,849.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,999.09 / $18,573.83	Facility		$55.00	$1,999.09	$18,573.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,038.81 / $3,428.25 / $14,804.00	Professional		$2,038.81	$3,428.25	$14,804.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,858.72 / $2,919.44 / $4,342.93	Professional		$1,858.72	$2,919.44	$4,342.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,408.95 / $3,126.20 / $3,796.71	Facility		$1,408.95	$3,126.20	$3,796.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,830.01 / $3,172.49 / $4,040.53	Professional		$1,830.01	$3,172.49	$4,040.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $433.45 / $3,124.85	Professional		$108.09	$433.45	$3,124.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,173.15 / $2,780.42 / $3,000.84	Facility		$2,173.15	$2,780.42	$3,000.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,999.09 / $1,999.09 / $2,017.66	Facility		$1,999.09	$1,999.09	$2,017.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,121.86 / $3,343.39 / $4,004.85	Professional		$2,121.86	$3,343.39	$4,004.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,038.81 / $2,902.42 / $3,909.48	Professional		$2,038.81	$2,902.42	$3,909.48
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 $1,925.88 / $2,713.74 / $4,396.68	Professional		$1,925.88	$2,713.74	$4,396.68