Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,753.91 / $3,918.03 / $20,680.40	Facility		$1,753.91	$3,918.03	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,753.91 / $3,563.11	Professional		$1,260.00	$1,753.91	$3,563.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,885.84 / $21,185.45	Facility		$55.00	$1,885.84	$21,185.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,980.38 / $3,468.57 / $12,231.68	Professional		$1,980.38	$3,468.57	$12,231.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.70 / $2,874.89 / $4,220.57	Professional		$1,701.70	$2,874.89	$4,220.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,674.68 / $2,767.86 / $3,474.45	Facility		$1,674.68	$2,767.86	$3,474.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,674.68 / $2,774.03 / $3,532.90	Professional		$1,674.68	$2,774.03	$3,532.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,699.15 / $3,260.86	Professional		$150.54	$1,699.15	$3,260.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,997.94 / $2,659.23 / $2,820.70	Facility		$1,997.94	$2,659.23	$2,820.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,885.84 / $1,885.84 / $1,923.97	Facility		$1,885.84	$1,885.84	$1,923.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,983.70 / $3,208.67 / $3,946.03	Professional		$1,983.70	$3,208.67	$3,946.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,923.31 / $2,767.65 / $3,727.95	Professional		$1,923.31	$2,767.65	$3,727.95
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 $1,765.28 / $3,018.50 / $4,034.84	Professional		$1,765.28	$3,018.50	$4,034.84