Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.99 / $4,199.55 / $20,680.40	Facility		$2,033.99	$4,199.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.95 / $2,033.99 / $4,199.55	Professional		$1,510.95	$2,033.99	$4,199.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,163.98 / $29,369.12	Facility		$55.00	$2,163.98	$29,369.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,206.96 / $3,665.49 / $14,627.60	Professional		$2,206.96	$3,665.49	$14,627.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,022.53 / $3,187.44 / $4,738.64	Professional		$2,022.53	$3,187.44	$4,738.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,533.26 / $3,400.97 / $4,130.42	Facility		$1,533.26	$3,400.97	$4,130.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,990.86 / $3,471.34 / $4,430.79	Professional		$1,990.86	$3,471.34	$4,430.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $450.03 / $3,395.94	Professional		$119.48	$450.03	$3,395.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,473.86 / $3,045.16 / $3,238.78	Facility		$2,473.86	$3,045.16	$3,238.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,163.98 / $2,163.98 / $2,181.26	Facility		$2,163.98	$2,163.98	$2,181.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,299.09 / $3,622.64 / $4,335.84	Professional		$2,299.09	$3,622.64	$4,335.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,206.96 / $3,137.77 / $4,226.49	Professional		$2,206.96	$3,137.77	$4,226.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,024.44 / $2,824.80 / $4,596.75	Professional		$2,024.44	$2,824.80	$4,596.75