Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.18 / $2,927.29 / $3,610.86	Facility		$1,469.18	$2,927.29	$3,610.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.31 / $1,469.18 / $3,283.76	Professional		$1,097.31	$1,469.18	$3,283.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,816.53 / $12,769.04	Facility		$55.00	$1,816.53	$12,769.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.55 / $3,355.95 / $12,471.60	Professional		$1,912.55	$3,355.95	$12,471.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.25 / $2,749.31 / $4,131.30	Professional		$1,531.25	$2,749.31	$4,131.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,563.91 / $2,570.28 / $3,244.64	Facility		$1,563.91	$2,570.28	$3,244.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,563.91 / $2,570.28 / $3,378.55	Professional		$1,563.91	$2,570.28	$3,378.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.79 / $2,159.14 / $3,578.13	Professional		$338.79	$2,159.14	$3,578.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,805.73 / $2,497.09 / $2,803.95	Facility		$1,805.73	$2,497.09	$2,803.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,816.53 / $1,816.53 / $1,912.55	Facility		$1,816.53	$1,816.53	$1,912.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,968.62 / $3,122.33 / $3,922.60	Professional		$1,968.62	$3,122.33	$3,922.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,852.62 / $2,722.26 / $3,705.82	Professional		$1,852.62	$2,722.26	$3,705.82
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 $1,601.04 / $2,554.05 / $3,917.03	Professional		$1,601.04	$2,554.05	$3,917.03