Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,184.73 / $4,495.64 / $20,680.40	Facility		$2,184.73	$4,495.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.05 / $2,184.73 / $4,495.64	Professional		$1,602.05	$2,184.73	$4,495.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,326.61 / $41,446.23	Facility		$55.00	$2,326.61	$41,446.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,372.83 / $3,985.77 / $21,307.00	Professional		$2,372.83	$3,985.77	$21,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,426.11 / $5,094.30	Professional		$2,233.19	$3,426.11	$5,094.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,647.03 / $3,654.72 / $4,438.60	Facility		$1,647.03	$3,654.72	$4,438.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,139.40 / $3,730.34 / $4,725.63	Professional		$2,139.40	$3,730.34	$4,725.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $470.06 / $3,659.51	Professional		$133.70	$470.06	$3,659.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,558.73 / $3,272.13 / $3,473.44	Facility		$2,558.73	$3,272.13	$3,473.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.61 / $2,326.61 / $2,345.78	Facility		$2,326.61	$2,326.61	$2,345.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,472.92 / $3,896.57 / $4,663.68	Professional		$2,472.92	$3,896.57	$4,663.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,372.83 / $3,374.44 / $4,545.27	Professional		$2,372.83	$3,374.44	$4,545.27
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 $2,176.67 / $2,912.76 / $4,944.32	Professional		$2,176.67	$2,912.76	$4,944.32