Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.17 / $3,200.10 / $20,680.40	Facility		$1,520.17	$3,200.10	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.20 / $1,520.17 / $3,200.10	Professional		$1,203.20	$1,520.17	$3,200.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,656.62 / $22,393.92	Facility		$55.00	$1,656.62	$22,393.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.53 / $2,840.44 / $15,227.00	Professional		$1,689.53	$2,840.44	$15,227.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.18 / $2,420.90 / $3,601.38	Professional		$1,633.18	$2,420.90	$3,601.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,165.29 / $2,583.17 / $3,137.22	Facility		$1,165.29	$2,583.17	$3,137.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,512.13 / $2,635.78 / $3,341.10	Professional		$1,512.13	$2,635.78	$3,341.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $1,010.64 / $2,699.52	Professional		$102.84	$1,010.64	$2,699.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,804.67 / $2,306.67 / $2,485.69	Facility		$1,804.67	$2,306.67	$2,485.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,656.62 / $1,656.62 / $1,671.71	Facility		$1,656.62	$1,656.62	$1,671.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,759.20 / $2,771.96 / $3,318.17	Professional		$1,759.20	$2,771.96	$3,318.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,689.53 / $2,404.77 / $3,239.16	Professional		$1,689.53	$2,404.77	$3,239.16
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 $1,555.31 / $2,170.19 / $3,517.32	Professional		$1,555.31	$2,170.19	$3,517.32