Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,571.72 / $3,528.35 / $20,680.40	Facility		$1,571.72	$3,528.35	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.90 / $1,571.72 / $3,208.73	Professional		$1,075.90	$1,571.72	$3,208.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,628.08 / $11,447.92	Facility		$55.00	$1,628.08	$11,447.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,749.06 / $3,006.26 / $10,431.15	Professional		$1,749.06	$3,006.26	$10,431.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.01 / $2,510.87 / $3,694.23	Professional		$1,531.01	$2,510.87	$3,694.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,448.12 / $2,574.46 / $3,126.65	Facility		$1,448.12	$2,574.46	$3,126.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,507.04 / $2,574.46 / $3,126.65	Professional		$1,507.04	$2,574.46	$3,126.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $1,499.76 / $2,852.03	Professional		$150.24	$1,499.76	$2,852.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,760.72 / $2,379.17 / $2,454.21	Facility		$1,760.72	$2,379.17	$2,454.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,628.08 / $1,628.08 / $1,673.99	Facility		$1,628.08	$1,628.08	$1,673.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,723.08 / $2,792.30 / $3,433.33	Professional		$1,723.08	$2,792.30	$3,433.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,660.43 / $2,408.06 / $3,243.59	Professional		$1,660.43	$2,408.06	$3,243.59
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 $1,562.44 / $2,485.69 / $3,497.03	Professional		$1,562.44	$2,485.69	$3,497.03