Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.17 / $3,370.34 / $20,680.40	Facility		$1,538.17	$3,370.34	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.41 / $1,538.17 / $3,051.86	Professional		$1,046.41	$1,538.17	$3,051.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,687.43 / $14,497.10	Facility		$55.00	$1,687.43	$14,497.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.74 / $3,143.21 / $11,575.50	Professional		$1,764.74	$3,143.21	$11,575.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.41 / $2,561.11 / $3,773.08	Professional		$1,528.41	$2,561.11	$3,773.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,494.04 / $2,471.23 / $3,119.61	Facility		$1,494.04	$2,471.23	$3,119.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,503.64 / $2,471.23 / $3,147.02	Professional		$1,503.64	$2,471.23	$3,147.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.14 / $1,388.94 / $2,814.67	Professional		$223.14	$1,388.94	$2,814.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,780.17 / $2,317.90 / $2,562.08	Facility		$1,780.17	$2,317.90	$2,562.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,687.43 / $1,687.43 / $1,747.57	Facility		$1,687.43	$1,687.43	$1,747.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.81 / $2,897.85 / $3,584.24	Professional		$1,798.81	$2,897.85	$3,584.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,720.95 / $2,513.90 / $3,386.15	Professional		$1,720.95	$2,513.90	$3,386.15
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 $1,467.90 / $2,603.07 / $3,841.92	Professional		$1,467.90	$2,603.07	$3,841.92