Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,382.92 / $4,976.72 / $20,680.40	Facility		$2,382.92	$4,976.72	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,834.33 / $2,382.92 / $5,048.76	Professional		$1,834.33	$2,382.92	$5,048.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,539.96 / $56,144.92	Facility		$55.00	$2,539.96	$56,144.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,590.42 / $4,358.39 / $19,602.00	Professional		$2,590.42	$4,358.39	$19,602.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,369.11 / $3,735.14 / $5,571.48	Professional		$2,369.11	$3,735.14	$5,571.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,792.42 / $3,983.87 / $4,838.34	Facility		$1,792.42	$3,983.87	$4,838.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,332.07 / $4,045.47 / $5,161.52	Professional		$2,332.07	$4,045.47	$5,161.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $503.40 / $4,011.58	Professional		$133.70	$503.40	$4,011.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,777.64 / $3,566.52 / $3,841.11	Facility		$2,777.64	$3,566.52	$3,841.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,539.96 / $2,539.96 / $2,573.37	Facility		$2,539.96	$2,539.96	$2,573.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,708.10 / $4,267.13 / $5,107.88	Professional		$2,708.10	$4,267.13	$5,107.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,590.42 / $3,701.82 / $4,986.25	Professional		$2,590.42	$3,701.82	$4,986.25
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 $2,438.48 / $3,645.84 / $5,414.52	Professional		$2,438.48	$3,645.84	$5,414.52