Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.29 / $3,647.65 / $20,680.40	Facility		$1,515.29	$3,647.65	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.86 / $1,515.29 / $3,317.22	Professional		$1,140.86	$1,515.29	$3,317.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,739.97 / $12,182.80	Facility		$55.00	$1,739.97	$12,182.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,835.14 / $3,213.76 / $11,312.48	Professional		$1,835.14	$3,213.76	$11,312.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,617.67 / $2,679.99 / $3,948.24	Professional		$1,617.67	$2,679.99	$3,948.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,501.42 / $2,616.32 / $3,302.75	Facility		$1,501.42	$2,616.32	$3,302.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.92 / $2,616.32 / $3,302.75	Professional		$1,591.92	$2,616.32	$3,302.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $453.29 / $2,800.07	Professional		$137.47	$453.29	$2,800.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,813.48 / $2,459.52 / $2,625.06	Facility		$1,813.48	$2,459.52	$2,625.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,739.97 / $1,739.97 / $1,790.53	Facility		$1,739.97	$1,739.97	$1,790.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,843.03 / $2,972.42 / $3,672.34	Professional		$1,843.03	$2,972.42	$3,672.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,774.54 / $2,563.65 / $3,469.39	Professional		$1,774.54	$2,563.65	$3,469.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,585.84 / $2,581.60 / $3,738.41	Professional		$1,585.84	$2,581.60	$3,738.41