Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.57 / $4,439.24 / $20,680.40	Facility		$2,159.57	$4,439.24	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.49 / $2,159.57 / $4,439.24	Professional		$1,444.49	$2,159.57	$4,439.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,300.33 / $41,082.30	Facility		$55.00	$2,300.33	$41,082.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,346.04 / $3,960.15 / $16,193.00	Professional		$2,346.04	$3,960.15	$16,193.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,384.11 / $5,048.79	Professional		$2,233.19	$3,384.11	$5,048.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,621.61 / $3,455.37 / $4,375.20	Facility		$1,621.61	$3,455.37	$4,375.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,108.84 / $3,465.87 / $4,671.03	Professional		$2,108.84	$3,465.87	$4,671.03
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 $2,445.27 / $3,232.40 / $3,417.00	Facility		$2,445.27	$3,232.40	$3,417.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,300.33 / $2,300.33 / $2,330.69	Facility		$2,300.33	$2,300.33	$2,330.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,453.13 / $3,865.37 / $4,626.35	Professional		$2,453.13	$3,865.37	$4,626.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,346.04 / $3,352.74 / $4,516.05	Professional		$2,346.04	$3,352.74	$4,516.05
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 $2,139.05 / $3,108.06 / $4,904.74	Professional		$2,139.05	$3,108.06	$4,904.74