Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,311.55 / $4,655.96 / $20,680.40	Facility		$2,311.55	$4,655.96	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.53 / $2,311.55 / $4,720.60	Professional		$1,665.53	$2,311.55	$4,720.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,453.00 / $54,400.58	Facility		$55.00	$2,453.00	$54,400.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,501.73 / $4,231.93 / $19,432.00	Professional		$2,501.73	$4,231.93	$19,432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,276.01 / $3,614.60 / $5,405.66	Professional		$2,276.01	$3,614.60	$5,405.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,726.39 / $3,826.55 / $4,647.27	Facility		$1,726.39	$3,826.55	$4,647.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,239.98 / $3,885.57 / $4,950.39	Professional		$2,239.98	$3,885.57	$4,950.39
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 $2,746.51 / $3,461.72 / $3,665.20	Facility		$2,746.51	$3,461.72	$3,665.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,453.00 / $2,453.00 / $2,490.65	Facility		$2,453.00	$2,453.00	$2,490.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,599.10 / $4,126.35 / $4,943.70	Professional		$2,599.10	$4,126.35	$4,943.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,501.73 / $3,582.83 / $4,825.97	Professional		$2,501.73	$3,582.83	$4,825.97
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 $2,337.07 / $3,101.87 / $5,235.89	Professional		$2,337.07	$3,101.87	$5,235.89