Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.87 / $3,756.00 / $20,680.40	Facility		$1,708.87	$3,756.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.05 / $1,708.87 / $3,415.76	Professional		$1,319.05	$1,708.87	$3,415.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,728.65 / $12,130.64	Facility		$55.00	$1,728.65	$12,130.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.34 / $3,187.20 / $11,048.85	Professional		$1,854.34	$3,187.20	$11,048.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.77 / $2,660.20 / $3,911.62	Professional		$1,632.77	$2,660.20	$3,911.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,551.44 / $2,745.57 / $3,334.45	Facility		$1,551.44	$2,745.57	$3,334.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,607.20 / $2,745.57 / $3,334.45	Professional		$1,607.20	$2,745.57	$3,334.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,497.98 / $2,996.38	Professional		$150.54	$1,497.98	$2,996.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,859.55 / $2,534.61 / $2,600.94	Facility		$1,859.55	$2,534.61	$2,600.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,728.65 / $1,728.65 / $1,774.07	Facility		$1,728.65	$1,728.65	$1,774.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,826.09 / $2,959.25 / $3,638.60	Professional		$1,826.09	$2,959.25	$3,638.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,762.99 / $2,552.02 / $3,437.51	Professional		$1,762.99	$2,552.02	$3,437.51
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 $1,665.84 / $2,707.59 / $3,707.53	Professional		$1,665.84	$2,707.59	$3,707.53