Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,319.66 / $4,954.95 / $20,680.40	Facility		$2,319.66	$4,954.95	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,489.98 / $2,319.66 / $5,009.18	Professional		$1,489.98	$2,319.66	$5,009.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,466.13 / $54,612.22	Facility		$55.00	$2,466.13	$54,612.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,515.13 / $4,249.78 / $24,716.00	Professional		$2,515.13	$4,249.78	$24,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.69 / $3,630.91 / $5,423.99	Professional		$2,293.69	$3,630.91	$5,423.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,776.92 / $3,856.27 / $4,683.37	Facility		$1,776.92	$3,856.27	$4,683.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,257.38 / $3,936.06 / $5,027.79	Professional		$2,257.38	$3,936.06	$5,027.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $493.71 / $3,934.24	Professional		$133.70	$493.71	$3,934.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,749.59 / $3,473.84 / $3,801.58	Facility		$2,749.59	$3,473.84	$3,801.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.13 / $2,466.13 / $2,501.16	Facility		$2,466.13	$2,466.13	$2,501.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,631.81 / $4,146.91 / $4,964.56	Professional		$2,631.81	$4,146.91	$4,964.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,515.13 / $3,597.95 / $4,846.34	Professional		$2,515.13	$3,597.95	$4,846.34
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 $2,252.88 / $3,218.41 / $5,261.97	Professional		$2,252.88	$3,218.41	$5,261.97