Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.28 / $3,401.09 / $20,680.40	Facility		$1,600.28	$3,401.09	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.28 / $1,600.28 / $3,401.09	Professional		$1,271.28	$1,600.28	$3,401.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,744.50 / $16,206.30	Facility		$55.00	$1,744.50	$16,206.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.16 / $2,990.30 / $13,197.00	Professional		$1,779.16	$2,990.30	$13,197.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.67 / $2,548.36 / $3,790.30	Professional		$1,621.67	$2,548.36	$3,790.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,229.15 / $2,727.45 / $3,312.44	Facility		$1,229.15	$2,727.45	$3,312.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,596.59 / $2,772.06 / $3,527.61	Professional		$1,596.59	$2,772.06	$3,527.61
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 $1,877.92 / $2,429.21 / $2,622.38	Facility		$1,877.92	$2,429.21	$2,622.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,744.50 / $1,744.50 / $1,759.91	Facility		$1,744.50	$1,744.50	$1,759.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,851.92 / $2,918.05 / $3,493.24	Professional		$1,851.92	$2,918.05	$3,493.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,779.16 / $2,531.65 / $3,410.06	Professional		$1,779.16	$2,531.65	$3,410.06
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 $1,679.29 / $2,555.38 / $3,702.68	Professional		$1,679.29	$2,555.38	$3,702.68