Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.24 / $4,098.60 / $20,680.40	Facility		$1,836.24	$4,098.60	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.08 / $1,836.24 / $4,098.60	Professional		$1,499.08	$1,836.24	$4,098.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,001.81 / $27,066.08	Facility		$55.00	$2,001.81	$27,066.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,050.40 / $3,490.52 / $13,034.40	Professional		$2,050.40	$3,490.52	$13,034.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.13 / $2,923.58 / $4,350.87	Professional		$1,862.13	$2,923.58	$4,350.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,421.97 / $3,132.00 / $3,803.76	Facility		$1,421.97	$3,132.00	$3,803.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,833.40 / $3,177.40 / $4,047.70	Professional		$1,833.40	$3,177.40	$4,047.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $432.19 / $3,126.15	Professional		$108.09	$432.19	$3,126.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,240.65 / $2,785.53 / $3,118.85	Facility		$2,240.65	$2,785.53	$3,118.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,001.81 / $2,001.81 / $2,021.31	Facility		$2,001.81	$2,001.81	$2,021.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,124.76 / $3,347.96 / $4,012.10	Professional		$2,124.76	$3,347.96	$4,012.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.58 / $2,907.68 / $3,916.57	Professional		$2,041.58	$2,907.68	$3,916.57
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 $1,929.40 / $2,878.93 / $4,248.21	Professional		$1,929.40	$2,878.93	$4,248.21