Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.42 / $3,433.48 / $20,680.40	Facility		$1,527.42	$3,433.48	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.81 / $1,527.42 / $3,122.46	Professional		$1,045.81	$1,527.42	$3,122.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,594.11 / $11,233.28	Facility		$55.00	$1,594.11	$11,233.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.30 / $2,946.50 / $10,348.73	Professional		$1,714.30	$2,946.50	$10,348.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.65 / $2,451.96 / $3,625.72	Professional		$1,493.65	$2,451.96	$3,625.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,414.09 / $2,511.40 / $3,050.05	Facility		$1,414.09	$2,511.40	$3,050.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,470.12 / $2,511.40 / $3,050.05	Professional		$1,470.12	$2,511.40	$3,050.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $1,426.55 / $2,757.68	Professional		$150.69	$1,426.55	$2,757.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,776.74 / $2,280.01 / $2,417.36	Facility		$1,776.74	$2,280.01	$2,417.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,594.11 / $1,594.11 / $1,648.86	Facility		$1,594.11	$1,594.11	$1,648.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,697.20 / $2,745.58 / $3,381.78	Professional		$1,697.20	$2,745.58	$3,381.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,625.78 / $2,361.11 / $3,194.88	Professional		$1,625.78	$2,361.11	$3,194.88
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 $1,528.12 / $2,564.17 / $3,601.49	Professional		$1,528.12	$2,564.17	$3,601.49