Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.33 / $4,043.10 / $20,680.40	Facility		$1,726.33	$4,043.10	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.81 / $1,726.33 / $3,676.85	Professional		$1,258.81	$1,726.33	$3,676.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,908.49 / $19,953.36	Facility		$55.00	$1,908.49	$19,953.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,057.66 / $3,365.35 / $16,192.37	Professional		$2,057.66	$3,365.35	$16,192.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.57 / $2,939.65 / $4,314.66	Professional		$1,771.57	$2,939.65	$4,314.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,743.43 / $2,897.38 / $3,617.09	Facility		$1,743.43	$2,897.38	$3,617.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,743.43 / $2,897.38 / $3,617.09	Professional		$1,743.43	$2,897.38	$3,617.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.79 / $519.32 / $3,054.05	Professional		$159.79	$519.32	$3,054.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,153.06 / $2,744.28 / $2,903.78	Facility		$2,153.06	$2,744.28	$2,903.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,908.49 / $1,908.49 / $1,980.64	Facility		$1,908.49	$1,908.49	$1,980.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,076.94 / $3,272.63 / $4,062.26	Professional		$2,076.94	$3,272.63	$4,062.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,946.41 / $2,849.17 / $3,837.76	Professional		$1,946.41	$2,849.17	$3,837.76
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 $1,787.72 / $3,032.64 / $4,152.62	Professional		$1,787.72	$3,032.64	$4,152.62