Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.40 / $3,972.73 / $20,680.40	Facility		$1,765.40	$3,972.73	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.81 / $1,765.40 / $3,612.85	Professional		$1,300.81	$1,765.40	$3,612.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,830.57 / $12,858.72	Facility		$55.00	$1,830.57	$12,858.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.92 / $3,365.88 / $12,420.21	Professional		$1,964.92	$3,365.88	$12,420.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,725.96 / $2,819.97 / $4,148.20	Professional		$1,725.96	$2,819.97	$4,148.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,640.82 / $2,902.17 / $3,524.64	Facility		$1,640.82	$2,902.17	$3,524.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.87 / $2,902.17 / $3,524.64	Professional		$1,698.87	$2,902.17	$3,524.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,695.20 / $3,229.95	Professional		$150.54	$1,695.20	$3,229.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,962.45 / $2,649.18 / $2,757.05	Facility		$1,962.45	$2,649.18	$2,757.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.57 / $1,830.57 / $1,880.56	Facility		$1,830.57	$1,830.57	$1,880.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,935.70 / $3,136.86 / $3,856.99	Professional		$1,935.70	$3,136.86	$3,856.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,866.94 / $2,705.20 / $3,643.83	Professional		$1,866.94	$2,705.20	$3,643.83
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 $1,802.24 / $3,182.79 / $3,928.62	Professional		$1,802.24	$3,182.79	$3,928.62