Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $3,966.36 / $20,680.40	Facility		$1,935.00	$3,966.36	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,391.06 / $1,935.00 / $3,966.36	Professional		$1,391.06	$1,935.00	$3,966.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,049.83 / $28,035.04	Facility		$55.00	$2,049.83	$28,035.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,144.08 / $3,571.44 / $13,356.90	Professional		$2,144.08	$3,571.44	$13,356.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,913.69 / $3,021.75 / $4,521.63	Professional		$1,913.69	$3,021.75	$4,521.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,449.56 / $3,217.55 / $3,907.65	Facility		$1,449.56	$3,217.55	$3,907.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,883.48 / $3,284.12 / $4,147.78	Professional		$1,883.48	$3,284.12	$4,147.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $439.71 / $3,281.60	Professional		$120.05	$439.71	$3,281.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,228.27 / $2,899.06 / $3,074.28	Facility		$2,228.27	$2,899.06	$3,074.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,049.83 / $2,049.83 / $2,083.01	Facility		$2,049.83	$2,049.83	$2,083.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,173.75 / $3,425.57 / $4,134.56	Professional		$2,173.75	$3,425.57	$4,134.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,090.55 / $2,994.28 / $4,036.11	Professional		$2,090.55	$2,994.28	$4,036.11
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 $1,879.92 / $2,685.60 / $4,364.10	Professional		$1,879.92	$2,685.60	$4,364.10