Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $3,584.87 / $20,680.40	Facility		$1,603.22	$3,584.87	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.61 / $1,603.22 / $3,260.13	Professional		$1,182.61	$1,603.22	$3,260.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,659.79 / $10,220.28	Facility		$55.00	$1,659.79	$10,220.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,757.88 / $3,064.36 / $21,953.02	Professional		$1,757.88	$3,064.36	$21,953.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,556.29 / $2,560.92 / $3,771.20	Professional		$1,556.29	$2,560.92	$3,771.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,477.64 / $2,616.52 / $3,177.72	Facility		$1,477.64	$2,616.52	$3,177.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,531.65 / $2,616.52 / $3,177.72	Professional		$1,531.65	$2,616.52	$3,177.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $1,500.44 / $2,852.03	Professional		$150.24	$1,500.44	$2,852.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,761.06 / $2,420.04 / $2,503.79	Facility		$1,761.06	$2,420.04	$2,503.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.79 / $1,659.79 / $1,707.81	Facility		$1,659.79	$1,659.79	$1,707.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,757.88 / $2,848.72 / $3,502.69	Professional		$1,757.88	$2,848.72	$3,502.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,692.77 / $2,455.55 / $3,309.11	Professional		$1,692.77	$2,455.55	$3,309.11
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 $1,589.73 / $2,472.26 / $3,564.64	Professional		$1,589.73	$2,472.26	$3,564.64