Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,362.89 / $4,851.46 / $20,680.40	Facility		$2,362.89	$4,851.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,529.81 / $2,362.89 / $4,851.46	Professional		$1,529.81	$2,362.89	$4,851.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,515.51 / $55,592.68	Facility		$55.00	$2,515.51	$55,592.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,565.48 / $4,328.21 / $25,568.00	Professional		$2,565.48	$4,328.21	$25,568.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,340.19 / $3,701.00 / $5,518.38	Professional		$2,340.19	$3,701.00	$5,518.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,817.53 / $3,934.57 / $4,778.47	Facility		$1,817.53	$3,934.57	$4,778.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,303.21 / $4,015.98 / $5,124.64	Professional		$2,303.21	$4,015.98	$5,124.64
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 $2,672.02 / $3,531.47 / $3,776.04	Facility		$2,672.02	$3,531.47	$3,776.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,515.51 / $2,515.51 / $2,547.32	Facility		$2,515.51	$2,515.51	$2,547.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,681.06 / $4,224.52 / $5,056.21	Professional		$2,681.06	$4,224.52	$5,056.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,565.48 / $3,664.35 / $4,935.78	Professional		$2,565.48	$3,664.35	$4,935.78
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 $2,411.19 / $3,288.00 / $5,360.47	Professional		$2,411.19	$3,288.00	$5,360.47