Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.23 / $4,281.72 / $20,680.40	Facility		$2,081.23	$4,281.72	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.73 / $2,081.23 / $4,281.72	Professional		$1,518.73	$2,081.23	$4,281.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,216.08 / $39,465.51	Facility		$55.00	$2,216.08	$39,465.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,260.10 / $3,782.54 / $18,601.00	Professional		$2,260.10	$3,782.54	$18,601.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,199.78 / $3,263.59 / $4,850.99	Professional		$2,199.78	$3,263.59	$4,850.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,567.67 / $3,478.55 / $4,224.63	Facility		$1,567.67	$3,478.55	$4,224.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,036.27 / $3,550.52 / $4,502.68	Professional		$2,036.27	$3,550.52	$4,502.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $461.13 / $3,509.02	Professional		$120.09	$461.13	$3,509.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,353.21 / $3,116.89 / $3,326.56	Facility		$2,353.21	$3,116.89	$3,326.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,216.08 / $2,216.08 / $2,233.36	Facility		$2,216.08	$2,216.08	$2,233.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,355.59 / $3,711.67 / $4,442.39	Professional		$2,355.59	$3,711.67	$4,442.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,260.10 / $3,212.71 / $4,327.43	Professional		$2,260.10	$3,212.71	$4,327.43
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 $2,072.17 / $3,228.73 / $4,770.81	Professional		$2,072.17	$3,228.73	$4,770.81