Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,643.19 / $3,721.54 / $20,680.40	Facility		$1,643.19	$3,721.54	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.19 / $1,643.19 / $3,384.42	Professional		$1,211.19	$1,643.19	$3,384.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,704.64 / $10,470.60	Facility		$55.00	$1,704.64	$10,470.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.16 / $2,984.60 / $15,207.00	Professional		$1,801.16	$2,984.60	$15,207.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.43 / $2,625.73 / $3,860.09	Professional		$1,606.43	$2,625.73	$3,860.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,528.07 / $2,701.35 / $3,280.74	Facility		$1,528.07	$2,701.35	$3,280.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,581.31 / $2,701.35 / $3,280.74	Professional		$1,581.31	$2,701.35	$3,280.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,572.17 / $3,036.30	Professional		$150.54	$1,572.17	$3,036.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,843.34 / $2,502.52 / $2,565.42	Facility		$1,843.34	$2,502.52	$2,565.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,704.64 / $1,704.64 / $1,749.85	Facility		$1,704.64	$1,704.64	$1,749.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,801.16 / $2,918.85 / $3,588.92	Professional		$1,801.16	$2,918.85	$3,588.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,738.51 / $2,517.19 / $3,390.58	Professional		$1,738.51	$2,517.19	$3,390.58
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 $1,653.97 / $2,631.31 / $3,665.03	Professional		$1,653.97	$2,631.31	$3,665.03