Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.59 / $3,293.59 / $20,680.40	Facility		$1,610.59	$3,293.59	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.70 / $1,610.59 / $3,293.59	Professional		$1,226.70	$1,610.59	$3,293.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,670.66 / $5,859.40	Facility		$55.00	$1,670.66	$5,859.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.00 / $2,943.94 / $10,674.15	Professional		$1,764.00	$2,943.94	$10,674.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.64 / $2,517.15 / $3,779.53	Professional		$1,573.64	$2,517.15	$3,779.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,270.07 / $2,646.25 / $3,213.82	Facility		$1,270.07	$2,646.25	$3,213.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.06 / $2,701.00 / $3,465.74	Professional		$1,549.06	$2,701.00	$3,465.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $1,519.54 / $2,889.60	Professional		$148.16	$1,519.54	$2,889.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,834.63 / $2,446.84 / $2,512.50	Facility		$1,834.63	$2,446.84	$2,512.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,670.66 / $1,670.66 / $1,713.75	Facility		$1,670.66	$1,670.66	$1,713.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,792.04 / $2,823.70 / $3,401.63	Professional		$1,792.04	$2,823.70	$3,401.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,703.86 / $2,465.25 / $3,320.63	Professional		$1,703.86	$2,465.25	$3,320.63
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 $1,606.88 / $2,264.23 / $3,582.96	Professional		$1,606.88	$2,264.23	$3,582.96