Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.58 / $3,317.08 / $20,680.40	Facility		$1,828.58	$3,317.08	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.63 / $1,828.58 / $3,436.23	Professional		$1,085.63	$1,828.58	$3,436.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,007.24 / $20,682.59	Facility		$55.00	$2,007.24	$20,682.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,086.69 / $3,737.49 / $13,753.43	Professional		$2,086.69	$3,737.49	$13,753.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,843.73 / $2,987.99 / $4,486.51	Professional		$1,843.73	$2,987.99	$4,486.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,410.81 / $2,811.43 / $3,743.84	Facility		$1,410.81	$2,811.43	$3,743.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,424.80 / $2,826.11 / $3,765.95	Professional		$1,424.80	$2,826.11	$3,765.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $521.71 / $3,208.90	Professional		$160.08	$521.71	$3,208.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,706.12 / $2,499.75 / $3,045.15	Facility		$1,706.12	$2,499.75	$3,045.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,007.24 / $2,007.24 / $2,077.07	Facility		$2,007.24	$2,007.24	$2,077.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,441.79 / $4,260.03	Professional		$2,137.96	$3,441.79	$4,260.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,047.12 / $2,987.88 / $4,024.60	Professional		$2,047.12	$2,987.88	$4,024.60
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 $1,744.22 / $2,651.12 / $4,347.64	Professional		$1,744.22	$2,651.12	$4,347.64