Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.56 / $4,145.82 / $20,680.40	Facility		$1,919.56	$4,145.82	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.47 / $1,919.56 / $4,145.82	Professional		$1,231.47	$1,919.56	$4,145.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,039.86 / $45,115.20	Facility		$55.00	$2,039.86	$45,115.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.39 / $3,511.33 / $14,063.00	Professional		$2,080.39	$3,511.33	$14,063.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.10 / $3,002.89 / $4,479.91	Professional		$2,017.10	$3,002.89	$4,479.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,491.41 / $3,189.27 / $3,873.31	Facility		$1,491.41	$3,189.27	$3,873.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,866.93 / $3,255.26 / $4,157.10	Professional		$1,866.93	$3,255.26	$4,157.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $411.11 / $3,209.89	Professional		$107.11	$411.11	$3,209.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,275.69 / $2,867.43 / $3,146.99	Facility		$2,275.69	$2,867.43	$3,146.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,039.86 / $2,039.86 / $2,066.55	Facility		$2,039.86	$2,039.86	$2,066.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,174.98 / $3,427.09 / $4,101.91	Professional		$2,174.98	$3,427.09	$4,101.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,080.39 / $2,972.76 / $4,004.23	Professional		$2,080.39	$2,972.76	$4,004.23
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 $1,911.68 / $2,946.97 / $4,394.60	Professional		$1,911.68	$2,946.97	$4,394.60