Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.15 / $1,448.19 / $3,198.82	Professional		$1,082.15	$1,448.19	$3,198.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,668.40 / $10,119.41	Facility		$55.00	$1,668.40	$10,119.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.77 / $3,068.91 / $10,741.95	Professional		$1,751.77	$3,068.91	$10,741.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.54 / $2,558.34 / $3,736.45	Professional		$1,519.54	$2,558.34	$3,736.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,495.58 / $2,554.90 / $3,102.88	Facility		$1,495.58	$2,554.90	$3,102.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,495.58 / $2,554.90 / $3,143.59	Professional		$1,495.58	$2,554.90	$3,143.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $495.21 / $2,655.81	Professional		$141.12	$495.21	$2,655.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,721.91 / $2,381.17 / $2,495.08	Facility		$1,721.91	$2,381.17	$2,495.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,668.40 / $1,668.40 / $1,701.87	Facility		$1,668.40	$1,668.40	$1,701.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,781.51 / $2,838.81 / $3,490.51	Professional		$1,781.51	$2,838.81	$3,490.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,701.55 / $2,448.16 / $3,297.60	Professional		$1,701.55	$2,448.16	$3,297.60
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 $1,594.79 / $2,615.94 / $3,597.67	Professional		$1,594.79	$2,615.94	$3,597.67