Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,254.48 / $4,552.47 / $20,680.40	Facility		$2,254.48	$4,552.47	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,629.90 / $2,254.48 / $4,618.34	Professional		$1,629.90	$2,254.48	$4,618.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,394.11 / $53,079.52	Facility		$55.00	$2,394.11	$53,079.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,441.67 / $4,130.20 / $23,608.00	Professional		$2,441.67	$4,130.20	$23,608.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,526.14 / $5,272.71	Professional		$2,233.19	$3,526.14	$5,272.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,688.57 / $3,745.35 / $4,548.66	Facility		$1,688.57	$3,745.35	$4,548.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,192.44 / $3,822.84 / $4,827.55	Professional		$2,192.44	$3,822.84	$4,827.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $482.90 / $3,845.25	Professional		$132.79	$482.90	$3,845.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,585.19 / $3,377.04 / $3,579.52	Facility		$2,585.19	$3,377.04	$3,579.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,394.11 / $2,394.11 / $2,430.78	Facility		$2,394.11	$2,394.11	$2,430.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,533.77 / $4,026.68 / $4,824.85	Professional		$2,533.77	$4,026.68	$4,824.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,441.67 / $3,496.71 / $4,709.97	Professional		$2,441.67	$3,496.71	$4,709.97
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 $2,274.31 / $3,230.21 / $5,157.89	Professional		$2,274.31	$3,230.21	$5,157.89