Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.75 / $3,532.66 / $20,680.40	Facility		$1,563.75	$3,532.66	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.74 / $1,563.75 / $3,212.65	Professional		$1,121.74	$1,563.75	$3,212.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,717.32 / $14,752.30	Facility		$55.00	$1,717.32	$14,752.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,806.36 / $3,198.82 / $11,784.15	Professional		$1,806.36	$3,198.82	$11,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,583.05 / $2,605.88 / $3,839.27	Professional		$1,583.05	$2,605.88	$3,839.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,520.28 / $2,559.82 / $3,231.43	Facility		$1,520.28	$2,559.82	$3,231.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,557.54 / $2,559.82 / $3,232.21	Professional		$1,557.54	$2,559.82	$3,232.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.13 / $1,418.48 / $2,867.26	Professional		$225.13	$1,418.48	$2,867.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,788.77 / $2,433.38 / $2,607.64	Facility		$1,788.77	$2,433.38	$2,607.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,717.32 / $1,717.32 / $1,778.64	Facility		$1,717.32	$1,717.32	$1,778.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,830.80 / $2,946.51 / $3,647.97	Professional		$1,830.80	$2,946.51	$3,647.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,751.44 / $2,558.60 / $3,446.37	Professional		$1,751.44	$2,558.60	$3,446.37
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 $1,539.71 / $2,371.19 / $3,721.03	Professional		$1,539.71	$2,371.19	$3,721.03