Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.48 / $4,279.71 / $20,680.40	Facility		$2,090.48	$4,279.71	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.30 / $2,090.48 / $4,279.71	Professional		$1,518.30	$2,090.48	$4,279.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,218.34 / $39,764.33	Facility		$55.00	$2,218.34	$39,764.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,262.41 / $3,830.47 / $19,176.00	Professional		$2,262.41	$3,830.47	$19,176.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,193.03 / $3,268.32 / $4,891.77	Professional		$2,193.03	$3,268.32	$4,891.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,564.26 / $3,467.67 / $4,211.43	Facility		$1,564.26	$3,467.67	$4,211.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,029.90 / $3,539.42 / $4,484.47	Professional		$2,029.90	$3,539.42	$4,484.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $456.21 / $3,516.49	Professional		$133.70	$456.21	$3,516.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,390.71 / $3,131.49 / $3,328.19	Facility		$2,390.71	$3,131.49	$3,328.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,218.34 / $2,218.34 / $2,254.38	Facility		$2,218.34	$2,218.34	$2,254.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,354.23 / $3,732.98 / $4,474.72	Professional		$2,354.23	$3,732.98	$4,474.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,262.41 / $3,242.96 / $4,368.17	Professional		$2,262.41	$3,242.96	$4,368.17
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 $2,122.12 / $2,893.80 / $4,774.76	Professional		$2,122.12	$2,893.80	$4,774.76