Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.27 / $3,653.70 / $20,680.40	Facility		$1,668.27	$3,653.70	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.23 / $1,668.27 / $3,322.73	Professional		$1,122.23	$1,668.27	$3,322.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,758.55 / $10,615.01	Facility		$55.00	$1,758.55	$10,615.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,822.62 / $3,069.57 / $11,552.00	Professional		$1,822.62	$3,069.57	$11,552.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,600.27 / $2,682.96 / $3,925.18	Professional		$1,600.27	$2,682.96	$3,925.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,536.68 / $2,588.42 / $3,267.53	Facility		$1,536.68	$2,588.42	$3,267.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,574.94 / $2,608.83 / $3,297.08	Professional		$1,574.94	$2,608.83	$3,297.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $570.04 / $2,731.77	Professional		$134.52	$570.04	$2,731.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,815.42 / $2,463.59 / $2,629.75	Facility		$1,815.42	$2,463.59	$2,629.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,758.55 / $1,758.55 / $1,793.73	Facility		$1,758.55	$1,758.55	$1,793.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,846.32 / $2,992.03 / $3,678.90	Professional		$1,846.32	$2,992.03	$3,678.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,793.48 / $2,580.30 / $3,475.59	Professional		$1,793.48	$2,580.30	$3,475.59
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.29 / $2,755.53 / $3,773.17	Professional		$1,659.29	$2,755.53	$3,773.17