Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.28 / $4,500.00 / $20,680.40	Facility		$2,189.28	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.95 / $2,189.28 / $4,506.09	Professional		$1,609.95	$2,189.28	$4,506.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,331.59 / $51,568.66	Facility		$55.00	$2,331.59	$51,568.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,432.44 / $4,084.70 / $18,542.75	Professional		$2,432.44	$4,084.70	$18,542.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,429.82 / $5,118.22	Professional		$2,233.19	$3,429.82	$5,118.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,645.79 / $3,656.17 / $4,440.35	Facility		$1,645.79	$3,656.17	$4,440.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,140.23 / $3,731.82 / $4,737.46	Professional		$2,140.23	$3,731.82	$4,737.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $469.38 / $3,695.73	Professional		$133.18	$469.38	$3,695.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,482.09 / $3,276.81 / $3,488.40	Facility		$2,482.09	$3,276.81	$3,488.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,331.59 / $2,331.59 / $2,363.15	Facility		$2,331.59	$2,331.59	$2,363.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,486.44 / $3,917.87 / $4,690.60	Professional		$2,486.44	$3,917.87	$4,690.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,377.91 / $3,399.41 / $4,578.92	Professional		$2,377.91	$3,399.41	$4,578.92
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 $2,222.56 / $2,974.85 / $4,971.35	Professional		$2,222.56	$2,974.85	$4,971.35