Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.35 / $3,162.31 / $20,680.40	Facility		$1,404.35	$3,162.31	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.46 / $1,404.35 / $2,875.85	Professional		$1,028.46	$1,404.35	$2,875.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,455.49 / $8,952.86	Facility		$55.00	$1,455.49	$8,952.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.58 / $2,680.13 / $9,321.23	Professional		$1,604.58	$2,680.13	$9,321.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,372.74 / $2,245.40 / $3,300.87	Professional		$1,372.74	$2,245.40	$3,300.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,351.28 / $2,308.40 / $2,803.51	Facility		$1,351.28	$2,308.40	$2,803.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.28 / $2,308.40 / $2,803.51	Professional		$1,351.28	$2,308.40	$2,803.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,334.38 / $2,523.58	Professional		$150.54	$1,334.38	$2,523.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,663.55 / $2,132.61 / $2,193.58	Facility		$1,663.55	$2,132.61	$2,193.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,455.49 / $1,455.49 / $1,496.22	Facility		$1,455.49	$1,455.49	$1,496.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,581.12 / $2,495.77 / $3,068.72	Professional		$1,581.12	$2,495.77	$3,068.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,484.41 / $2,152.33 / $2,899.13	Professional		$1,484.41	$2,152.33	$2,899.13
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 $1,383.00 / $2,206.75 / $3,128.24	Professional		$1,383.00	$2,206.75	$3,128.24