Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $4,033.59 / $20,680.40	Facility		$1,953.70	$4,033.59	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.13 / $1,953.70 / $4,033.59	Professional		$1,409.13	$1,953.70	$4,033.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,081.08 / $28,216.32	Facility		$55.00	$2,081.08	$28,216.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.42 / $3,632.52 / $13,439.70	Professional		$2,122.42	$3,632.52	$13,439.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,943.07 / $3,063.91 / $4,550.97	Professional		$1,943.07	$3,063.91	$4,550.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,471.57 / $3,266.85 / $3,924.83	Facility		$1,471.57	$3,266.85	$3,924.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,912.34 / $3,331.51 / $3,967.53	Professional		$1,912.34	$3,331.51	$3,967.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $440.47 / $3,281.60	Professional		$120.05	$440.47	$3,281.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,257.92 / $2,923.48 / $3,073.29	Facility		$2,257.92	$2,923.48	$3,073.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,081.08 / $2,081.08 / $2,096.26	Facility		$2,081.08	$2,081.08	$2,096.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,157.71 / $3,484.16 / $4,170.10	Professional		$2,157.71	$3,484.16	$4,170.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,122.42 / $3,015.49 / $4,061.79	Professional		$2,122.42	$3,015.49	$4,061.79
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 $1,942.22 / $2,648.90 / $4,421.01	Professional		$1,942.22	$2,648.90	$4,421.01