Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,243.01 / $4,516.31 / $20,680.40	Facility		$2,243.01	$4,516.31	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.00 / $2,243.01 / $4,582.50	Professional		$1,586.00	$2,243.01	$4,582.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,383.23 / $32,492.16	Facility		$55.00	$2,383.23	$32,492.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,453.96 / $4,177.52 / $15,561.53	Professional		$2,453.96	$4,177.52	$15,561.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.89 / $3,510.26 / $5,244.93	Professional		$2,209.89	$3,510.26	$5,244.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,675.24 / $3,715.62 / $4,512.56	Facility		$1,675.24	$3,715.62	$4,512.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,175.05 / $3,732.86 / $4,732.00	Professional		$2,175.05	$3,732.86	$4,732.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $479.69 / $3,796.75	Professional		$133.70	$479.69	$3,796.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,521.34 / $3,358.64 / $3,561.16	Facility		$2,521.34	$3,358.64	$3,561.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,383.23 / $2,383.23 / $2,417.98	Facility		$2,383.23	$2,383.23	$2,417.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,488.89 / $4,006.90 / $4,799.47	Professional		$2,488.89	$4,006.90	$4,799.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,430.58 / $3,478.30 / $4,685.18	Professional		$2,430.58	$3,478.30	$4,685.18
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 $2,199.50 / $2,955.72 / $5,084.33	Professional		$2,199.50	$2,955.72	$5,084.33