Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,198.44 / $10,122.46 / $27,982.24	Facility		$2,198.44	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.13 / $2,198.44 / $2,823.55	Professional		$1,061.13	$2,198.44	$2,823.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,251.41 / $21,152.23	Facility		$55.00	$2,251.41	$21,152.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,296.14 / $3,900.69 / $14,495.63	Professional		$2,296.14	$3,900.69	$14,495.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,673.33 / $4,148.60 / $5,027.34	Professional		$2,673.33	$4,148.60	$5,027.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,541.01 / $3,256.99 / $3,917.14	Facility		$1,541.01	$3,256.99	$3,917.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,938.60 / $3,256.99 / $4,079.35	Professional		$1,938.60	$3,256.99	$4,079.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,196.53 / $1,407.69 / $1,563.19	Facility		$1,196.53	$1,407.69	$1,563.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,251.41 / $2,251.41 / $2,269.92	Facility		$2,251.41	$2,251.41	$2,269.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,336.48 / $3,767.98 / $4,509.79	Professional		$2,336.48	$3,767.98	$4,509.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,296.14 / $3,265.30 / $4,398.28	Professional		$2,296.14	$3,265.30	$4,398.28
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 $1,900.33 / $3,023.25 / $4,471.12	Professional		$1,900.33	$3,023.25	$4,471.12