Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.89 / $4,409.42 / $20,680.40	Facility		$2,153.89	$4,409.42	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.05 / $2,153.89 / $4,409.42	Professional		$1,539.05	$2,153.89	$4,409.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,285.84 / $50,716.12	Facility		$55.00	$2,285.84	$50,716.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,331.25 / $3,946.17 / $19,432.00	Professional		$2,331.25	$3,946.17	$19,432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,367.52 / $5,038.72	Professional		$2,233.19	$3,367.52	$5,038.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,612.62 / $3,575.70 / $4,342.62	Facility		$1,612.62	$3,575.70	$4,342.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,093.14 / $3,628.93 / $4,609.14	Professional		$2,093.14	$3,628.93	$4,609.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $465.50 / $3,580.67	Professional		$133.70	$465.50	$3,580.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,460.44 / $3,225.12 / $3,431.28	Facility		$2,460.44	$3,225.12	$3,431.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,285.84 / $2,285.84 / $2,322.46	Facility		$2,285.84	$2,285.84	$2,322.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,418.62 / $3,845.59 / $4,609.88	Professional		$2,418.62	$3,845.59	$4,609.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,331.25 / $3,340.90 / $4,500.10	Professional		$2,331.25	$3,340.90	$4,500.10
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 $2,167.94 / $2,783.19 / $4,879.64	Professional		$2,167.94	$2,783.19	$4,879.64