Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.18 / $1,387.66 / $3,025.51	Professional		$926.18	$1,387.66	$3,025.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,436.01 / $8,836.03	Facility		$55.00	$1,436.01	$8,836.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.86 / $2,516.69 / $10,018.90	Professional		$1,519.86	$2,516.69	$10,018.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.41 / $2,215.58 / $3,259.53	Professional		$1,349.41	$2,215.58	$3,259.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,276.33 / $2,269.25 / $2,755.96	Facility		$1,276.33	$2,269.25	$2,755.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,328.37 / $2,269.25 / $2,755.96	Professional		$1,328.37	$2,269.25	$2,755.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,323.32 / $2,562.01	Professional		$150.54	$1,323.32	$2,562.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,643.91 / $2,097.10 / $2,273.31	Facility		$1,643.91	$2,097.10	$2,273.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,436.01 / $1,436.01 / $1,476.57	Facility		$1,436.01	$1,436.01	$1,476.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,519.86 / $2,462.98 / $3,028.42	Professional		$1,519.86	$2,462.98	$3,028.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,464.54 / $2,124.06 / $2,861.05	Professional		$1,464.54	$2,124.06	$2,861.05
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 $1,377.20 / $2,090.50 / $3,084.79	Professional		$1,377.20	$2,090.50	$3,084.79