Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,330.31 / $4,725.68 / $20,680.40	Facility		$2,330.31	$4,725.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.69 / $2,330.31 / $4,799.92	Professional		$1,717.69	$2,330.31	$4,799.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,485.61 / $44,214.45	Facility		$55.00	$2,485.61	$44,214.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,534.98 / $4,252.89 / $17,387.00	Professional		$2,534.98	$4,252.89	$17,387.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.44 / $3,658.24 / $5,432.28	Professional		$2,333.44	$3,658.24	$5,432.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,767.31 / $3,923.70 / $4,765.26	Facility		$1,767.31	$3,923.70	$4,765.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,296.85 / $3,979.91 / $5,060.51	Professional		$2,296.85	$3,979.91	$5,060.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $491.12 / $3,913.66	Professional		$133.70	$491.12	$3,913.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,751.19 / $3,489.53 / $3,710.76	Facility		$2,751.19	$3,489.53	$3,710.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,485.61 / $2,485.61 / $2,502.98	Facility		$2,485.61	$2,485.61	$2,502.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,641.46 / $4,162.12 / $4,981.53	Professional		$2,641.46	$4,162.12	$4,981.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,534.98 / $3,600.58 / $4,849.88	Professional		$2,534.98	$3,600.58	$4,849.88
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 $2,328.02 / $3,180.17 / $5,281.29	Professional		$2,328.02	$3,180.17	$5,281.29