Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.10 / $3,950.52 / $20,680.40	Facility		$1,921.10	$3,950.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.69 / $1,921.10 / $3,950.52	Professional		$1,408.69	$1,921.10	$3,950.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,043.03 / $45,201.52	Facility		$55.00	$2,043.03	$45,201.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.62 / $3,473.79 / $13,938.86	Professional		$2,083.62	$3,473.79	$13,938.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,026.52 / $3,006.47 / $4,487.68	Professional		$2,026.52	$3,006.47	$4,487.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,443.36 / $3,204.50 / $3,891.81	Facility		$1,443.36	$3,204.50	$3,891.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,875.84 / $3,270.80 / $4,119.57	Professional		$1,875.84	$3,270.80	$4,119.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $410.51 / $3,240.93	Professional		$106.65	$410.51	$3,240.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,330.92 / $2,874.40 / $3,057.28	Facility		$2,330.92	$2,874.40	$3,057.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,043.03 / $2,043.03 / $2,070.67	Facility		$2,043.03	$2,043.03	$2,070.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,162.94 / $3,433.18 / $4,110.07	Professional		$2,162.94	$3,433.18	$4,110.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,083.62 / $2,978.68 / $4,012.20	Professional		$2,083.62	$2,978.68	$4,012.20
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 $1,932.00 / $2,761.48 / $4,409.45	Professional		$1,932.00	$2,761.48	$4,409.45