Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.91 / $4,280.63 / $20,680.40	Facility		$2,090.91	$4,280.63	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.21 / $2,090.91 / $4,280.63	Professional		$1,475.21	$2,090.91	$4,280.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,219.25 / $49,242.70	Facility		$55.00	$2,219.25	$49,242.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,263.34 / $3,831.25 / $19,432.00	Professional		$2,263.34	$3,831.25	$19,432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.37 / $3,269.71 / $4,892.78	Professional		$2,194.37	$3,269.71	$4,892.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,565.19 / $3,455.43 / $4,214.07	Facility		$1,565.19	$3,455.43	$4,214.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,031.17 / $3,455.43 / $4,428.06	Professional		$2,031.17	$3,455.43	$4,428.06
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 $2,403.46 / $3,132.82 / $3,331.32	Facility		$2,403.46	$3,132.82	$3,331.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,219.25 / $2,219.25 / $2,254.84	Facility		$2,219.25	$2,219.25	$2,254.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,320.94 / $3,733.74 / $4,475.63	Professional		$2,320.94	$3,733.74	$4,475.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,263.34 / $3,243.61 / $4,369.06	Professional		$2,263.34	$3,243.61	$4,369.06
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 $2,026.50 / $2,895.00 / $4,737.70	Professional		$2,026.50	$2,895.00	$4,737.70