Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,782.62 / $4,277.08 / $20,680.40	Facility		$1,782.62	$4,277.08	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.95 / $1,782.62 / $3,889.64	Professional		$1,341.95	$1,782.62	$3,889.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,052.54 / $14,335.12	Facility		$55.00	$2,052.54	$14,335.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,167.36 / $3,786.46 / $13,310.33	Professional		$2,167.36	$3,786.46	$13,310.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,892.61 / $3,155.70 / $4,643.35	Professional		$1,892.61	$3,155.70	$4,643.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,704.37 / $3,061.32 / $3,864.51	Facility		$1,704.37	$3,061.32	$3,864.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.69 / $3,061.32 / $3,864.51	Professional		$1,862.69	$3,061.32	$3,864.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $538.08 / $3,289.38	Professional		$164.99	$538.08	$3,289.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,129.38 / $2,881.35 / $3,089.37	Facility		$2,129.38	$2,881.35	$3,089.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,052.54 / $2,052.54 / $2,107.23	Facility		$2,052.54	$2,052.54	$2,107.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,169.01 / $3,504.58 / $4,321.89	Professional		$2,169.01	$3,504.58	$4,321.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,093.32 / $3,020.50 / $4,083.04	Professional		$2,093.32	$3,020.50	$4,083.04
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 $1,859.00 / $3,035.91 / $4,404.60	Professional		$1,859.00	$3,035.91	$4,404.60