Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,912.14 / $3,906.18 / $20,680.40	Facility		$1,912.14	$3,906.18	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.23 / $1,912.14 / $3,906.18	Professional		$1,368.23	$1,912.14	$3,906.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,026.72 / $36,357.51	Facility		$55.00	$2,026.72	$36,357.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.98 / $3,501.24 / $18,750.00	Professional		$2,066.98	$3,501.24	$18,750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,002.91 / $2,987.34 / $4,473.89	Professional		$2,002.91	$2,987.34	$4,473.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,429.41 / $3,095.66 / $3,846.02	Facility		$1,429.41	$3,095.66	$3,846.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,853.77 / $3,095.66 / $4,115.93	Professional		$1,853.77	$3,095.66	$4,115.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $414.80 / $3,214.79	Professional		$107.11	$414.80	$3,214.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,182.46 / $2,865.51 / $3,042.32	Facility		$2,182.46	$2,865.51	$3,042.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,026.72 / $2,026.72 / $2,060.61	Facility		$2,026.72	$2,026.72	$2,060.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,162.00 / $3,411.88 / $4,090.11	Professional		$2,162.00	$3,411.88	$4,090.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,066.98 / $2,964.22 / $3,992.72	Professional		$2,066.98	$2,964.22	$3,992.72
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 $1,848.83 / $2,933.88 / $4,357.96	Professional		$1,848.83	$2,933.88	$4,357.96