Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,920.98 / $4,251.97 / $20,680.40	Facility		$1,920.98	$4,251.97	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.82 / $1,920.98 / $4,251.97	Professional		$1,536.82	$1,920.98	$4,251.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,096.94 / $28,318.88	Facility		$55.00	$2,096.94	$28,318.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,177.01 / $3,655.53 / $13,637.55	Professional		$2,177.01	$3,655.53	$13,637.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.51 / $3,061.56 / $4,551.47	Professional		$2,045.51	$3,061.56	$4,551.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,542.56 / $3,340.55 / $4,177.09	Facility		$1,542.56	$3,340.55	$4,177.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,013.35 / $3,340.55 / $4,437.18	Professional		$2,013.35	$3,340.55	$4,437.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $443.59 / $3,298.83	Professional		$108.09	$443.59	$3,298.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,381.89 / $2,916.28 / $3,242.80	Facility		$2,381.89	$2,916.28	$3,242.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,096.94 / $2,096.94 / $2,115.00	Facility		$2,096.94	$2,096.94	$2,115.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,225.19 / $3,506.23 / $4,198.06	Professional		$2,225.19	$3,506.23	$4,198.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,138.60 / $3,042.45 / $4,098.09	Professional		$2,138.60	$3,042.45	$4,098.09
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 $1,929.48 / $2,807.23 / $4,449.02	Professional		$1,929.48	$2,807.23	$4,449.02