Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.96 / $3,421.13 / $20,680.40	Facility		$1,561.96	$3,421.13	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.26 / $1,561.96 / $3,111.22	Professional		$1,206.26	$1,561.96	$3,111.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,579.16 / $9,712.01	Facility		$55.00	$1,579.16	$9,712.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.23 / $2,758.13 / $10,316.00	Professional		$1,646.23	$2,758.13	$10,316.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,486.25 / $2,433.31 / $3,581.08	Professional		$1,486.25	$2,433.31	$3,581.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,405.07 / $2,499.07 / $3,035.08	Facility		$1,405.07	$2,499.07	$3,035.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.90 / $2,499.07 / $3,035.08	Professional		$1,462.90	$2,499.07	$3,035.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,383.47 / $2,746.43	Professional		$150.54	$1,383.47	$2,746.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,677.27 / $2,308.82 / $2,379.84	Facility		$1,677.27	$2,308.82	$2,379.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,579.16 / $1,579.16 / $1,623.26	Facility		$1,579.16	$1,579.16	$1,623.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,670.86 / $2,707.69 / $3,329.29	Professional		$1,670.86	$2,707.69	$3,329.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,610.53 / $2,335.08 / $3,145.30	Professional		$1,610.53	$2,335.08	$3,145.30
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 $1,516.25 / $2,535.98 / $3,411.54	Professional		$1,516.25	$2,535.98	$3,411.54