Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.46 / $4,744.37 / $20,680.40	Facility		$2,300.46	$4,744.37	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,838.38 / $2,300.46 / $4,858.85	Professional		$1,838.38	$2,300.46	$4,858.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,513.69 / $33,934.24	Facility		$55.00	$2,513.69	$33,934.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,609.31 / $4,380.60 / $16,349.33	Professional		$2,609.31	$4,380.60	$16,349.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,339.09 / $3,668.81 / $5,452.91	Professional		$2,339.09	$3,668.81	$5,452.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,770.72 / $3,933.85 / $4,777.59	Facility		$1,770.72	$3,933.85	$4,777.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,302.79 / $3,980.36 / $5,080.70	Professional		$2,302.79	$3,980.36	$5,080.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,127.84 / $4,105.87	Professional		$232.90	$2,127.84	$4,105.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,823.40 / $3,492.68 / $3,773.32	Facility		$2,823.40	$3,492.68	$3,773.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,513.69 / $2,513.69 / $2,534.98	Facility		$2,513.69	$2,513.69	$2,534.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,666.57 / $4,201.68 / $5,031.68	Professional		$2,666.57	$4,201.68	$5,031.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,563.64 / $3,646.59 / $4,911.87	Professional		$2,563.64	$3,646.59	$4,911.87
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 $2,423.53 / $3,414.98 / $5,331.49	Professional		$2,423.53	$3,414.98	$5,331.49