Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,800.40 / $3,862.57 / $20,680.40	Facility		$1,800.40	$3,862.57	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.80 / $1,800.40 / $3,512.68	Professional		$1,165.80	$1,800.40	$3,512.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,903.05 / $11,374.09	Facility		$55.00	$1,903.05	$11,374.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.85 / $3,489.32 / $12,449.55	Professional		$1,988.85	$3,489.32	$12,449.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.74 / $2,874.24 / $4,210.85	Professional		$1,727.74	$2,874.24	$4,210.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,564.15 / $2,794.18 / $3,527.28	Facility		$1,564.15	$2,794.18	$3,527.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,700.14 / $2,794.18 / $3,527.28	Professional		$1,700.14	$2,794.18	$3,527.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $400.59 / $3,179.95	Professional		$104.94	$400.59	$3,179.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,914.74 / $2,646.85 / $2,832.76	Facility		$1,914.74	$2,646.85	$2,832.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.05 / $1,903.05 / $1,932.20	Facility		$1,903.05	$1,903.05	$1,932.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,988.85 / $3,223.00 / $3,962.90	Professional		$1,988.85	$3,223.00	$3,962.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,940.86 / $2,779.49 / $3,743.89	Professional		$1,940.86	$2,779.49	$3,743.89
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 $1,740.50 / $3,036.55 / $4,058.97	Professional		$1,740.50	$3,036.55	$4,058.97