Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.57 / $3,882.88 / $20,680.40	Facility		$1,611.57	$3,882.88	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.83 / $1,611.57 / $3,882.88	Professional		$1,303.83	$1,611.57	$3,882.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,756.28 / $23,748.80	Facility		$55.00	$1,756.28	$23,748.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.23 / $3,062.93 / $11,432.40	Professional		$1,799.23	$3,062.93	$11,432.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $2,611.03 / $3,818.55	Professional		$1,674.90	$2,611.03	$3,818.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,238.14 / $2,746.30 / $3,335.33	Facility		$1,238.14	$2,746.30	$3,335.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,607.62 / $2,791.03 / $3,551.82	Professional		$1,607.62	$2,791.03	$3,551.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $1,042.01 / $2,781.59	Professional		$103.05	$1,042.01	$2,781.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,965.12 / $2,495.35 / $2,942.64	Facility		$1,965.12	$2,495.35	$2,942.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,756.28 / $1,756.28 / $1,773.16	Facility		$1,756.28	$1,756.28	$1,773.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,864.48 / $2,937.83 / $3,519.55	Professional		$1,864.48	$2,937.83	$3,519.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,791.17 / $2,550.71 / $3,435.74	Professional		$1,791.17	$2,550.71	$3,435.74
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 $1,633.66 / $2,305.19 / $3,745.94	Professional		$1,633.66	$2,305.19	$3,745.94