Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.85 / $3,208.99 / $20,680.40	Facility		$1,433.85	$3,208.99	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.76 / $1,433.85 / $2,918.30	Professional		$1,113.76	$1,433.85	$2,918.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,449.15 / $8,911.49	Facility		$55.00	$1,449.15	$8,911.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,533.03 / $2,667.72 / $9,280.12	Professional		$1,533.03	$2,667.72	$9,280.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.38 / $2,235.08 / $3,285.91	Professional		$1,366.38	$2,235.08	$3,285.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,291.50 / $2,297.52 / $2,790.30	Facility		$1,291.50	$2,297.52	$2,790.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.92 / $2,297.52 / $2,790.30	Professional		$1,344.92	$2,297.52	$2,790.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,276.74 / $2,477.77	Professional		$150.54	$1,276.74	$2,477.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,640.03 / $2,121.89 / $2,183.53	Facility		$1,640.03	$2,121.89	$2,183.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.15 / $1,449.15 / $1,489.36	Facility		$1,449.15	$1,449.15	$1,489.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,533.03 / $2,484.34 / $3,054.66	Professional		$1,533.03	$2,484.34	$3,054.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,477.94 / $2,142.46 / $2,885.84	Professional		$1,477.94	$2,142.46	$2,885.84
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 $1,393.49 / $2,216.91 / $3,135.33	Professional		$1,393.49	$2,216.91	$3,135.33