Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.88 / $4,075.16 / $20,680.40	Facility		$1,954.88	$4,075.16	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.76 / $1,954.88 / $4,075.16	Professional		$1,131.76	$1,954.88	$4,075.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,101.92 / $37,123.80	Facility		$55.00	$2,101.92	$37,123.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,143.67 / $3,565.82 / $18,937.84	Professional		$2,143.67	$3,565.82	$18,937.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,973.23 / $3,082.86 / $4,549.46	Professional		$1,973.23	$3,082.86	$4,549.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,486.45 / $2,863.66 / $4,030.04	Facility		$1,486.45	$2,863.66	$4,030.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,942.47 / $2,915.56 / $4,290.64	Professional		$1,942.47	$2,915.56	$4,290.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $381.74 / $2,357.72 / $3,807.01	Professional		$381.74	$2,357.72	$3,807.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,244.69 / $2,918.92 / $3,161.06	Facility		$2,244.69	$2,918.92	$3,161.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,101.92 / $2,101.92 / $2,105.40	Facility		$2,101.92	$2,101.92	$2,105.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,226.65 / $3,508.51 / $4,199.24	Professional		$2,226.65	$3,508.51	$4,199.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,143.67 / $3,028.64 / $4,079.50	Professional		$2,143.67	$3,028.64	$4,079.50
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 $1,842.40 / $2,736.47 / $4,451.93	Professional		$1,842.40	$2,736.47	$4,451.93