Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.88 / $3,243.53 / $20,680.40	Facility		$1,436.88	$3,243.53	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.16 / $1,436.88 / $2,949.71	Professional		$1,059.16	$1,436.88	$2,949.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,489.92 / $9,162.16	Facility		$55.00	$1,489.92	$9,162.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,599.85 / $2,740.51 / $9,542.25	Professional		$1,599.85	$2,740.51	$9,542.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.91 / $2,295.98 / $3,377.85	Professional		$1,404.91	$2,295.98	$3,377.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,327.17 / $2,362.05 / $2,868.66	Facility		$1,327.17	$2,362.05	$2,868.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,382.69 / $2,362.05 / $2,868.66	Professional		$1,382.69	$2,362.05	$2,868.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,366.55 / $2,650.63	Professional		$150.54	$1,366.55	$2,650.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,635.64 / $2,180.85 / $2,245.17	Facility		$1,635.64	$2,180.85	$2,245.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,489.92 / $1,489.92 / $1,531.41	Facility		$1,489.92	$1,489.92	$1,531.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,576.31 / $2,554.46 / $3,140.89	Professional		$1,576.31	$2,554.46	$3,140.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,519.52 / $2,202.94 / $2,967.31	Professional		$1,519.52	$2,202.94	$2,967.31
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 $1,432.21 / $2,243.35 / $3,198.69	Professional		$1,432.21	$2,243.35	$3,198.69