Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,352.37 / $4,766.83 / $20,680.40	Facility		$2,352.37	$4,766.83	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.43 / $2,352.37 / $5,290.83	Professional		$1,807.43	$2,352.37	$5,290.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,506.90 / $55,410.94	Facility		$55.00	$2,506.90	$55,410.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,556.71 / $4,301.12 / $19,602.00	Professional		$2,556.71	$4,301.12	$19,602.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,338.08 / $3,686.58 / $5,498.73	Professional		$2,338.08	$3,686.58	$5,498.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,769.17 / $3,931.67 / $4,774.95	Facility		$1,769.17	$3,931.67	$4,774.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,301.52 / $3,961.52 / $5,096.91	Professional		$2,301.52	$3,961.52	$5,096.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $491.96 / $3,955.21	Professional		$133.18	$491.96	$3,955.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,751.38 / $3,520.17 / $3,752.37	Facility		$2,751.38	$3,520.17	$3,752.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,506.90 / $2,506.90 / $2,539.55	Facility		$2,506.90	$2,506.90	$2,539.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,673.82 / $4,213.10 / $5,042.55	Professional		$2,673.82	$4,213.10	$5,042.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,556.71 / $3,653.17 / $4,920.72	Professional		$2,556.71	$3,653.17	$4,920.72
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 $2,352.10 / $3,391.41 / $5,345.96	Professional		$2,352.10	$3,391.41	$5,345.96