Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.17 / $4,240.83 / $20,680.40	Facility		$1,954.17	$4,240.83	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.40 / $1,954.17 / $3,856.67	Professional		$1,187.40	$1,954.17	$3,856.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,049.37 / $14,155.60	Facility		$55.00	$2,049.37	$14,155.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,119.83 / $3,775.67 / $13,516.28	Professional		$2,119.83	$3,775.67	$13,516.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,732.66 / $3,009.01 / $3,798.47	Facility		$1,732.66	$3,009.01	$3,798.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,830.86 / $3,009.01 / $3,837.31	Professional		$1,830.86	$3,009.01	$3,837.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $465.17 / $3,421.37	Professional		$120.67	$465.17	$3,421.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,050.54 / $2,842.70 / $3,078.65	Facility		$2,050.54	$2,842.70	$3,078.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,049.37 / $2,049.37 / $2,099.92	Facility		$2,049.37	$2,049.37	$2,099.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,161.48 / $3,502.77 / $4,306.89	Professional		$2,161.48	$3,502.77	$4,306.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,090.09 / $3,011.89 / $4,068.87	Professional		$2,090.09	$3,011.89	$4,068.87
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 $1,866.10 / $3,285.74 / $4,392.07	Professional		$1,866.10	$3,285.74	$4,392.07