Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.28 / $3,970.38 / $20,680.40	Facility		$1,941.28	$3,970.38	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.67 / $1,941.28 / $3,970.38	Professional		$1,395.67	$1,941.28	$3,970.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,060.23 / $45,673.68	Facility		$55.00	$2,060.23	$45,673.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,101.17 / $3,553.26 / $20,029.00	Professional		$2,101.17	$3,553.26	$20,029.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,036.44 / $3,035.09 / $4,537.91	Professional		$2,036.44	$3,035.09	$4,537.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,452.35 / $3,219.72 / $3,910.30	Facility		$1,452.35	$3,219.72	$3,910.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,884.76 / $3,286.34 / $4,151.42	Professional		$1,884.76	$3,286.34	$4,151.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $415.11 / $3,266.67	Professional		$107.11	$415.11	$3,266.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,246.50 / $2,906.95 / $3,092.64	Facility		$2,246.50	$2,906.95	$3,092.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.23 / $2,060.23 / $2,091.23	Facility		$2,060.23	$2,060.23	$2,091.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,178.44 / $3,464.38 / $4,150.89	Professional		$2,178.44	$3,464.38	$4,150.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,101.17 / $3,008.26 / $4,052.05	Professional		$2,101.17	$3,008.26	$4,052.05
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 $1,961.00 / $2,686.20 / $4,395.91	Professional		$1,961.00	$2,686.20	$4,395.91