Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,769.37 / $4,061.26 / $20,680.40	Facility		$1,769.37	$4,061.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.93 / $1,769.37 / $3,693.36	Professional		$1,267.93	$1,769.37	$3,693.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,940.65 / $19,995.24	Facility		$55.00	$1,940.65	$19,995.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.35 / $3,616.31 / $13,315.28	Professional		$2,068.35	$3,616.31	$13,315.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.67 / $2,944.29 / $4,335.45	Professional		$1,801.67	$2,944.29	$4,335.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,729.38 / $2,913.45 / $3,677.84	Facility		$1,729.38	$2,913.45	$3,677.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,772.71 / $2,913.45 / $3,678.23	Professional		$1,772.71	$2,913.45	$3,678.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $521.71 / $3,067.72	Professional		$160.08	$521.71	$3,067.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,063.96 / $2,749.41 / $2,945.99	Facility		$2,063.96	$2,749.41	$2,945.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,940.65 / $1,940.65 / $2,009.43	Facility		$1,940.65	$1,940.65	$2,009.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,068.35 / $3,338.18 / $4,121.31	Professional		$2,068.35	$3,338.18	$4,121.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,979.21 / $2,890.58 / $3,893.54	Professional		$1,979.21	$2,890.58	$3,893.54
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 $1,788.38 / $2,911.31 / $4,206.70	Professional		$1,788.38	$2,911.31	$4,206.70