Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.91 / $3,791.33 / $20,680.40	Facility		$1,689.91	$3,791.33	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.96 / $1,689.91 / $3,447.88	Professional		$1,211.96	$1,689.91	$3,447.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,857.30 / $17,526.52	Facility		$55.00	$1,857.30	$17,526.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.03 / $3,457.78 / $12,735.45	Professional		$1,978.03	$3,457.78	$12,735.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.06 / $2,814.82 / $4,145.34	Professional		$1,715.06	$2,814.82	$4,145.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,644.51 / $2,773.26 / $3,500.86	Facility		$1,644.51	$2,773.26	$3,500.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,687.41 / $2,773.26 / $3,500.86	Professional		$1,687.41	$2,773.26	$3,500.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $518.67 / $2,967.34	Professional		$160.08	$518.67	$2,967.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,979.60 / $2,627.63 / $2,817.35	Facility		$1,979.60	$2,627.63	$2,817.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,857.30 / $1,857.30 / $1,921.69	Facility		$1,857.30	$1,857.30	$1,921.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,978.03 / $3,189.83 / $3,941.35	Professional		$1,978.03	$3,189.83	$3,941.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,894.20 / $2,764.37 / $3,723.53	Professional		$1,894.20	$2,764.37	$3,723.53
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 $1,739.50 / $2,822.08 / $4,022.27	Professional		$1,739.50	$2,822.08	$4,022.27