Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.45 / $3,469.46 / $20,680.40	Facility		$1,671.45	$3,469.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.94 / $1,671.45 / $3,155.17	Professional		$1,198.94	$1,671.45	$3,155.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,833.74 / $25,215.04	Facility		$55.00	$1,833.74	$25,215.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.08 / $3,404.76 / $12,583.58	Professional		$1,932.08	$3,404.76	$12,583.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.76 / $2,783.35 / $4,101.51	Professional		$1,692.76	$2,783.35	$4,101.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,626.06 / $2,736.99 / $3,455.08	Facility		$1,626.06	$2,736.99	$3,455.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.34 / $2,736.99 / $3,456.46	Professional		$1,665.34	$2,736.99	$3,456.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $1,523.32 / $3,089.07	Professional		$232.34	$1,523.32	$3,089.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,818.53 / $2,427.02 / $2,785.19	Facility		$1,818.53	$2,427.02	$2,785.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,833.74 / $1,833.74 / $1,899.75	Facility		$1,833.74	$1,833.74	$1,899.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,955.45 / $3,149.02 / $3,896.36	Professional		$1,955.45	$3,149.02	$3,896.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,870.18 / $2,732.81 / $3,681.02	Professional		$1,870.18	$2,732.81	$3,681.02
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 $1,693.50 / $2,743.30 / $3,974.01	Professional		$1,693.50	$2,743.30	$3,974.01