Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.83 / $1,553.01 / $3,154.51	Professional		$1,072.83	$1,553.01	$3,154.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,609.51 / $11,306.24	Facility		$55.00	$1,609.51	$11,306.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,701.91 / $2,843.00 / $10,303.20	Professional		$1,701.91	$2,843.00	$10,303.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,515.04 / $2,479.98 / $3,647.94	Professional		$1,515.04	$2,479.98	$3,647.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,436.23 / $2,547.65 / $3,094.07	Facility		$1,436.23	$2,547.65	$3,094.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,491.34 / $2,547.65 / $3,094.07	Professional		$1,491.34	$2,547.65	$3,094.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $1,463.07 / $2,814.65	Professional		$150.69	$1,463.07	$2,814.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,765.79 / $2,341.65 / $2,424.06	Facility		$1,765.79	$2,341.65	$2,424.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,609.51 / $1,609.51 / $1,653.43	Facility		$1,609.51	$1,609.51	$1,653.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,701.91 / $2,758.00 / $3,391.15	Professional		$1,701.91	$2,758.00	$3,391.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,641.49 / $2,378.48 / $3,203.74	Professional		$1,641.49	$2,378.48	$3,203.74
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 $1,546.16 / $2,354.38 / $3,454.55	Professional		$1,546.16	$2,354.38	$3,454.55