Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.14 / $4,333.47 / $20,680.40	Facility		$1,971.14	$4,333.47	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.83 / $1,971.14 / $3,940.92	Professional		$1,527.83	$1,971.14	$3,940.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,996.37 / $15,761.43	Facility		$55.00	$1,996.37	$15,761.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,084.08 / $3,481.83 / $12,894.00	Professional		$2,084.08	$3,481.83	$12,894.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,883.07 / $3,072.49 / $4,517.07	Professional		$1,883.07	$3,072.49	$4,517.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.17 / $3,166.07 / $3,845.14	Facility		$1,778.17	$3,166.07	$3,845.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,853.35 / $3,166.07 / $3,845.14	Professional		$1,853.35	$3,166.07	$3,845.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $1,795.71 / $3,469.26	Professional		$200.40	$1,795.71	$3,469.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,120.17 / $2,926.56 / $3,004.28	Facility		$2,120.17	$2,926.56	$3,004.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.37 / $1,996.37 / $2,049.19	Facility		$1,996.37	$1,996.37	$2,049.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,109.27 / $3,418.15 / $4,202.85	Professional		$2,109.27	$3,418.15	$4,202.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,036.03 / $2,937.08 / $3,970.58	Professional		$2,036.03	$2,937.08	$3,970.58
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 $1,895.61 / $3,204.13 / $4,387.64	Professional		$1,895.61	$3,204.13	$4,387.64