Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.69 / $3,225.06 / $20,680.40	Facility		$1,483.69	$3,225.06	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.34 / $1,483.69 / $3,225.06	Professional		$1,179.34	$1,483.69	$3,225.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,616.76 / $21,871.84	Facility		$55.00	$1,616.76	$21,871.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.88 / $2,774.43 / $10,743.00	Professional		$1,648.88	$2,774.43	$10,743.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.93 / $2,362.67 / $3,517.42	Professional		$1,597.93	$2,362.67	$3,517.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,180.79 / $2,527.35 / $3,069.42	Facility		$1,180.79	$2,527.35	$3,069.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.45 / $2,571.15 / $3,269.36	Professional		$1,479.45	$2,571.15	$3,269.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $971.79 / $2,598.49	Professional		$102.57	$971.79	$2,598.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,777.15 / $2,253.19 / $2,457.56	Facility		$1,777.15	$2,253.19	$2,457.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,616.76 / $1,616.76 / $1,632.86	Facility		$1,616.76	$1,616.76	$1,632.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,716.23 / $2,704.24 / $3,241.07	Professional		$1,716.23	$2,704.24	$3,241.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,648.88 / $2,348.89 / $3,163.89	Professional		$1,648.88	$2,348.89	$3,163.89
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 $1,554.97 / $2,165.17 / $3,431.39	Professional		$1,554.97	$2,165.17	$3,431.39