Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.11 / $3,910.81 / $20,680.40	Facility		$1,914.11	$3,910.81	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,384.93 / $1,914.11 / $3,910.81	Professional		$1,384.93	$1,914.11	$3,910.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,028.53 / $45,044.74	Facility		$55.00	$2,028.53	$45,044.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.84 / $3,503.57 / $18,665.00	Professional		$2,068.84	$3,503.57	$18,665.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,005.23 / $2,990.13 / $4,477.04	Professional		$2,005.23	$2,990.13	$4,477.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,431.27 / $3,170.42 / $3,850.42	Facility		$1,431.27	$3,170.42	$3,850.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,855.90 / $3,233.17 / $4,125.03	Professional		$1,855.90	$3,233.17	$4,125.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $414.80 / $3,214.79	Professional		$107.11	$414.80	$3,214.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,188.42 / $2,867.49 / $3,045.04	Facility		$2,188.42	$2,867.49	$3,045.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,028.53 / $2,028.53 / $2,061.98	Facility		$2,028.53	$2,028.53	$2,061.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,166.69 / $3,414.16 / $4,092.84	Professional		$2,166.69	$3,414.16	$4,092.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,068.84 / $2,966.19 / $3,995.38	Professional		$2,068.84	$2,966.19	$3,995.38
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 / $2,731.73 / $4,332.20	Professional		$1,932.00	$2,731.73	$4,332.20