Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.80 / $3,142.83 / $20,680.40	Facility		$1,435.80	$3,142.83	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.59 / $1,435.80 / $2,858.14	Professional		$1,092.59	$1,435.80	$2,858.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,449.15 / $8,920.45	Facility		$55.00	$1,449.15	$8,920.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.84 / $2,668.55 / $9,291.23	Professional		$1,557.84	$2,668.55	$9,291.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.69 / $2,236.91 / $3,290.56	Professional		$1,362.69	$2,236.91	$3,290.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,288.63 / $2,291.00 / $2,782.38	Facility		$1,288.63	$2,291.00	$2,782.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,341.10 / $2,291.00 / $2,782.38	Professional		$1,341.10	$2,291.00	$2,782.38
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 $1,550.36 / $2,118.54 / $2,185.54	Facility		$1,550.36	$2,118.54	$2,185.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.15 / $1,449.15 / $1,490.73	Facility		$1,449.15	$1,449.15	$1,490.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,534.44 / $2,486.62 / $3,057.47	Professional		$1,534.44	$2,486.62	$3,057.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,477.94 / $2,144.44 / $2,888.50	Professional		$1,477.94	$2,144.44	$2,888.50
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 $1,391.28 / $2,274.65 / $3,114.70	Professional		$1,391.28	$2,274.65	$3,114.70