Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,013.83 / $4,146.92 / $20,680.40	Facility		$2,013.83	$4,146.92	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.53 / $2,013.83 / $4,146.92	Professional		$1,479.53	$2,013.83	$4,146.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,144.50 / $38,187.87	Facility		$55.00	$2,144.50	$38,187.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,224.52 / $3,744.38 / $13,854.00	Professional		$2,224.52	$3,744.38	$13,854.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,129.03 / $3,158.03 / $4,693.71	Professional		$2,129.03	$3,158.03	$4,693.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,517.14 / $3,366.17 / $4,088.16	Facility		$1,517.14	$3,366.17	$4,088.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,970.48 / $3,402.67 / $4,388.43	Professional		$1,970.48	$3,402.67	$4,388.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $451.94 / $3,410.80	Professional		$120.05	$451.94	$3,410.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,414.35 / $3,016.67 / $3,213.99	Facility		$2,414.35	$3,016.67	$3,213.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.50 / $2,144.50 / $2,161.15	Facility		$2,144.50	$2,144.50	$2,161.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,279.29 / $3,591.45 / $4,298.50	Professional		$2,279.29	$3,591.45	$4,298.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.11 / $3,108.85 / $4,187.53	Professional		$2,187.11	$3,108.85	$4,187.53
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 $2,005.95 / $2,892.31 / $4,557.17	Professional		$2,005.95	$2,892.31	$4,557.17