Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.13 / $4,419.92 / $20,680.40	Facility		$2,145.13	$4,419.92	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,571.79 / $2,145.13 / $4,860.18	Professional		$1,571.79	$2,145.13	$4,860.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,285.84 / $40,799.22	Facility		$55.00	$2,285.84	$40,799.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,331.25 / $3,886.46 / $15,161.85	Professional		$2,331.25	$3,886.46	$15,161.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,361.44 / $5,012.39	Professional		$2,233.19	$3,361.44	$5,012.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,613.86 / $3,586.57 / $4,355.83	Facility		$1,613.86	$3,586.57	$4,355.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,099.50 / $3,660.78 / $4,604.60	Professional		$2,099.50	$3,660.78	$4,604.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $464.28 / $3,585.47	Professional		$133.18	$464.28	$3,585.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,504.46 / $3,209.34 / $3,421.08	Facility		$2,504.46	$3,209.34	$3,421.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,285.84 / $2,285.84 / $2,315.16	Facility		$2,285.84	$2,285.84	$2,315.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,419.09 / $3,841.02 / $4,597.21	Professional		$2,419.09	$3,841.02	$4,597.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,331.25 / $3,330.39 / $4,485.93	Professional		$2,331.25	$3,330.39	$4,485.93
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 $2,095.38 / $2,890.76 / $4,873.85	Professional		$2,095.38	$2,890.76	$4,873.85