Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.06 / $3,334.25 / $20,680.40	Facility		$1,481.06	$3,334.25	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.14 / $1,481.06 / $3,030.52	Professional		$863.14	$1,481.06	$3,030.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,615.40 / $16,741.91	Facility		$55.00	$1,615.40	$16,741.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.61 / $3,003.56 / $11,090.03	Professional		$1,682.61	$3,003.56	$11,090.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.77 / $2,421.77 / $3,636.32	Professional		$1,476.77	$2,421.77	$3,636.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,143.08 / $2,167.71 / $3,013.95	Facility		$1,143.08	$2,167.71	$3,013.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,269.93 / $2,175.31 / $3,025.34	Professional		$1,269.93	$2,175.31	$3,025.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.87 / $1,349.52 / $2,762.94	Professional		$218.87	$1,349.52	$2,762.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,476.14 / $2,151.71 / $2,460.23	Facility		$1,476.14	$2,151.71	$2,460.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.40 / $1,615.40 / $1,678.10	Facility		$1,615.40	$1,615.40	$1,678.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,727.31 / $2,768.34 / $3,441.77	Professional		$1,727.31	$2,768.34	$3,441.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,647.49 / $2,413.96 / $3,251.56	Professional		$1,647.49	$2,413.96	$3,251.56
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 $1,384.14 / $2,294.75 / $3,505.72	Professional		$1,384.14	$2,294.75	$3,505.72