Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,668.13 / $10,122.46 / $27,982.24	Facility		$2,668.13	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.19 / $2,668.13 / $3,428.62	Professional		$1,117.19	$2,668.13	$3,428.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,733.86 / $25,686.98	Facility		$55.00	$2,733.86	$25,686.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,788.17 / $4,759.10 / $17,604.38	Professional		$2,788.17	$4,759.10	$17,604.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,246.45 / $5,038.42 / $6,105.07	Professional		$3,246.45	$5,038.42	$6,105.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,871.16 / $3,955.07 / $4,756.35	Facility		$1,871.16	$3,955.07	$4,756.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,326.23 / $3,955.07 / $4,953.68	Professional		$2,326.23	$3,955.07	$4,953.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,500.66 / $1,689.22 / $1,875.82	Facility		$1,500.66	$1,689.22	$1,875.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,733.86 / $2,733.86 / $2,756.62	Facility		$2,733.86	$2,733.86	$2,756.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,837.45 / $4,574.53 / $5,475.13	Professional		$2,837.45	$4,574.53	$5,475.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,788.17 / $3,965.43 / $5,341.34	Professional		$2,788.17	$3,965.43	$5,341.34
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 $2,251.26 / $3,632.66 / $5,278.17	Professional		$2,251.26	$3,632.66	$5,278.17