Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.04 / $4,587.58 / $20,680.40	Facility		$2,264.04	$4,587.58	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.81 / $2,264.04 / $4,587.58	Professional		$1,607.81	$2,264.04	$4,587.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,412.67 / $53,330.16	Facility		$55.00	$2,412.67	$53,330.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.61 / $4,152.72 / $21,307.00	Professional		$2,460.61	$4,152.72	$21,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,249.57 / $3,548.34 / $5,292.66	Professional		$2,249.57	$3,548.34	$5,292.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,702.52 / $3,638.85 / $4,593.56	Facility		$1,702.52	$3,638.85	$4,593.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,214.09 / $3,667.55 / $4,900.35	Professional		$2,214.09	$3,667.55	$4,900.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $482.44 / $3,846.31	Professional		$133.18	$482.44	$3,846.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,568.82 / $3,388.63 / $3,621.68	Facility		$2,568.82	$3,388.63	$3,621.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,412.67 / $2,412.67 / $2,444.04	Facility		$2,412.67	$2,412.67	$2,444.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,572.89 / $4,054.08 / $4,852.21	Professional		$2,572.89	$4,054.08	$4,852.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,460.61 / $3,515.78 / $4,735.64	Professional		$2,460.61	$3,515.78	$4,735.64
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 $2,260.88 / $3,262.44 / $5,144.18	Professional		$2,260.88	$3,262.44	$5,144.18