Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.73 / $4,229.76 / $20,680.40	Facility		$2,066.73	$4,229.76	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.46 / $2,066.73 / $4,229.76	Professional		$1,501.46	$2,066.73	$4,229.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,192.96 / $48,666.80	Facility		$55.00	$2,192.96	$48,666.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.54 / $3,774.02 / $19,773.00	Professional		$2,236.54	$3,774.02	$19,773.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,167.71 / $3,231.18 / $4,835.72	Professional		$2,167.71	$3,231.18	$4,835.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,546.28 / $3,427.80 / $4,163.00	Facility		$1,546.28	$3,427.80	$4,163.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,006.56 / $3,475.42 / $4,459.91	Professional		$2,006.56	$3,475.42	$4,459.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $459.88 / $3,504.01	Professional		$120.05	$459.88	$3,504.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,363.76 / $3,095.35 / $3,328.56	Facility		$2,363.76	$3,095.35	$3,328.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.96 / $2,192.96 / $2,228.33	Facility		$2,192.96	$2,192.96	$2,228.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,341.58 / $3,689.60 / $4,423.02	Professional		$2,341.58	$3,689.60	$4,423.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,236.54 / $3,205.48 / $4,317.70	Professional		$2,236.54	$3,205.48	$4,317.70
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 $2,098.36 / $2,670.63 / $4,681.71	Professional		$2,098.36	$2,670.63	$4,681.71