Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.71 / $4,180.58 / $20,680.40	Facility		$1,853.71	$4,180.58	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.86 / $1,853.71 / $3,801.88	Professional		$1,282.86	$1,853.71	$3,801.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,924.80 / $13,513.44	Facility		$55.00	$1,924.80	$13,513.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,065.85 / $3,550.74 / $12,311.85	Professional		$2,065.85	$3,550.74	$12,311.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,814.89 / $2,963.37 / $4,357.35	Professional		$1,814.89	$2,963.37	$4,357.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,714.21 / $3,051.52 / $3,706.02	Facility		$1,714.21	$3,051.52	$3,706.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,786.29 / $3,051.52 / $3,706.02	Professional		$1,786.29	$3,051.52	$3,706.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,750.63 / $3,371.92	Professional		$150.54	$1,750.63	$3,371.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,088.67 / $2,820.70 / $2,897.75	Facility		$2,088.67	$2,820.70	$2,897.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,924.80 / $1,924.80 / $1,976.53	Facility		$1,924.80	$1,924.80	$1,976.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,034.48 / $3,296.95 / $4,053.82	Professional		$2,034.48	$3,296.95	$4,053.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,963.04 / $2,843.26 / $3,829.79	Professional		$1,963.04	$2,843.26	$3,829.79
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 $1,768.20 / $2,886.94 / $4,130.39	Professional		$1,768.20	$2,886.94	$4,130.39