Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,601.35 / $10,122.46 / $27,982.24	Facility		$2,601.35	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,601.35 / $3,520.08	Professional		$1,091.79	$2,601.35	$3,520.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,665.00 / $28,195.64	Facility		$55.00	$2,665.00	$28,195.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,862.55 / $4,897.83 / $19,322.78	Professional		$2,862.55	$4,897.83	$19,322.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,563.52 / $5,020.84 / $6,701.36	Professional		$3,563.52	$5,020.84	$6,701.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,868.37 / $3,643.04 / $4,648.89	Facility		$1,868.37	$3,643.04	$4,648.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,016.04 / $3,695.52 / $4,946.64	Professional		$2,016.04	$3,695.52	$4,946.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $1,188.00 / $1,697.14	Professional		$169.71	$1,188.00	$1,697.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,300.58 / $1,464.01 / $1,625.73	Facility		$1,300.58	$1,464.01	$1,625.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,665.00 / $2,665.00 / $3,025.80	Facility		$2,665.00	$2,665.00	$3,025.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,025.80 / $4,734.02 / $6,005.91	Professional		$3,025.80	$4,734.02	$6,005.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,862.55 / $4,306.83 / $5,862.90	Professional		$2,862.55	$4,306.83	$5,862.90
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 $1,980.05 / $3,090.86 / $4,684.42	Professional		$1,980.05	$3,090.86	$4,684.42