Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.97 / $3,893.53 / $20,680.40	Facility		$1,792.97	$3,893.53	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.02 / $1,792.97 / $3,893.53	Professional		$1,272.02	$1,792.97	$3,893.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,955.15 / $14,864.40	Facility		$55.00	$1,955.15	$14,864.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,993.99 / $3,399.92 / $12,725.18	Professional		$1,993.99	$3,399.92	$12,725.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,882.74 / $2,855.67 / $4,248.51	Professional		$1,882.74	$2,855.67	$4,248.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,419.49 / $3,118.22 / $3,791.06	Facility		$1,419.49	$3,118.22	$3,791.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,853.35 / $3,118.22 / $3,845.14	Professional		$1,853.35	$3,118.22	$3,845.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $433.45 / $3,011.69	Professional		$110.85	$433.45	$3,011.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,146.82 / $2,720.41 / $2,948.81	Facility		$2,146.82	$2,720.41	$2,948.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,955.15 / $1,955.15 / $1,973.33	Facility		$1,955.15	$1,955.15	$1,973.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,031.19 / $3,268.07 / $3,916.86	Professional		$2,031.19	$3,268.07	$3,916.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,993.99 / $2,838.66 / $3,823.59	Professional		$1,993.99	$2,838.66	$3,823.59
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 $1,882.93 / $2,543.88 / $4,146.84	Professional		$1,882.93	$2,543.88	$4,146.84