Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.41 / $3,465.91 / $20,680.40	Facility		$1,539.41	$3,465.91	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.92 / $1,539.41 / $3,151.95	Professional		$1,051.92	$1,539.41	$3,151.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,596.83 / $11,214.80	Facility		$55.00	$1,596.83	$11,214.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.27 / $2,947.33 / $10,217.48	Professional		$1,688.27	$2,947.33	$10,217.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.20 / $2,460.11 / $3,617.02	Professional		$1,506.20	$2,460.11	$3,617.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,422.70 / $2,532.42 / $3,075.58	Facility		$1,422.70	$2,532.42	$3,075.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.42 / $2,532.42 / $3,075.58	Professional		$1,482.42	$2,532.42	$3,075.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $1,456.90 / $2,773.67	Professional		$150.69	$1,456.90	$2,773.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,715.00 / $2,298.10 / $2,404.63	Facility		$1,715.00	$2,298.10	$2,404.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,596.83 / $1,596.83 / $1,640.17	Facility		$1,596.83	$1,596.83	$1,640.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,688.27 / $2,735.89 / $3,363.97	Professional		$1,688.27	$2,735.89	$3,363.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,628.55 / $2,359.41 / $3,178.06	Professional		$1,628.55	$2,359.41	$3,178.06
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 $1,536.05 / $2,503.80 / $3,456.09	Professional		$1,536.05	$2,503.80	$3,456.09