Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.96 / $3,318.94 / $20,680.40	Facility		$1,576.96	$3,318.94	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.75 / $1,576.96 / $3,018.29	Professional		$1,079.75	$1,576.96	$3,018.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,679.27 / $11,887.68	Facility		$55.00	$1,679.27	$11,887.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.94 / $3,090.09 / $11,396.70	Professional		$1,782.94	$3,090.09	$11,396.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.60 / $2,551.17 / $3,848.11	Professional		$1,589.60	$2,551.17	$3,848.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,509.21 / $2,570.98 / $3,245.52	Facility		$1,509.21	$2,570.98	$3,245.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,564.33 / $2,583.71 / $3,245.52	Professional		$1,564.33	$2,583.71	$3,245.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,534.25 / $2,948.94	Professional		$150.54	$1,534.25	$2,948.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,807.12 / $2,335.60 / $2,592.23	Facility		$1,807.12	$2,335.60	$2,592.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,679.27 / $1,679.27 / $1,768.13	Facility		$1,679.27	$1,679.27	$1,768.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.98 / $2,855.47 / $3,626.41	Professional		$1,819.98	$2,855.47	$3,626.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,712.63 / $2,516.71 / $3,426.00	Professional		$1,712.63	$2,516.71	$3,426.00
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 $1,580.05 / $2,625.09 / $3,776.99	Professional		$1,580.05	$2,625.09	$3,776.99