Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.42 / $10,122.46 / $27,982.24	Facility		$2,411.42	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,411.42 / $3,097.39	Professional		$1,091.79	$2,411.42	$3,097.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,469.76 / $23,213.08	Facility		$55.00	$2,469.76	$23,213.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,518.82 / $4,300.76 / $15,908.25	Professional		$2,518.82	$4,300.76	$15,908.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,933.79 / $4,552.97 / $5,517.10	Professional		$2,933.79	$4,552.97	$5,517.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,691.05 / $3,574.75 / $4,298.54	Facility		$1,691.05	$3,574.75	$4,298.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,093.92 / $3,574.75 / $4,477.34	Professional		$2,093.92	$3,574.75	$4,477.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,350.60 / $1,520.30 / $1,688.25	Facility		$1,350.60	$1,520.30	$1,688.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,469.76 / $2,469.76 / $2,491.11	Facility		$2,469.76	$2,469.76	$2,491.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,564.15 / $4,133.97 / $4,947.83	Professional		$2,564.15	$4,133.97	$4,947.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,518.82 / $3,583.49 / $4,826.85	Professional		$2,518.82	$3,583.49	$4,826.85
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 $1,995.67 / $2,877.48 / $4,769.91	Professional		$1,995.67	$2,877.48	$4,769.91