Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,307.94 / $10,122.46 / $27,982.24	Facility		$2,307.94	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.76 / $2,307.94 / $2,964.46	Professional		$974.76	$2,307.94	$2,964.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,363.75 / $23,528.78	Facility		$55.00	$2,363.75	$23,528.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,417.19 / $4,337.85 / $16,123.65	Professional		$2,417.19	$4,337.85	$16,123.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,973.68 / $4,324.42 / $5,592.16	Professional		$2,973.68	$4,324.42	$5,592.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,607.04 / $3,396.89 / $4,071.56	Facility		$1,607.04	$3,396.89	$4,071.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,938.60 / $3,396.89 / $4,254.57	Professional		$1,938.60	$3,396.89	$4,254.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,250.55 / $1,407.69 / $1,563.19	Facility		$1,250.55	$1,407.69	$1,563.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,363.75 / $2,363.75 / $2,524.92	Facility		$2,363.75	$2,363.75	$2,524.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,598.96 / $4,190.28 / $5,015.22	Professional		$2,598.96	$4,190.28	$5,015.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,410.71 / $3,632.14 / $4,892.39	Professional		$2,410.71	$3,632.14	$4,892.39
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 $1,975.05 / $3,157.96 / $4,618.85	Professional		$1,975.05	$3,157.96	$4,618.85