Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,939.44 / $4,009.70 / $20,680.40	Facility		$1,939.44	$4,009.70	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.11 / $1,939.44 / $4,009.70	Professional		$1,412.11	$1,939.44	$4,009.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,070.21 / $28,000.00	Facility		$55.00	$2,070.21	$28,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,142.19 / $3,611.10 / $13,345.35	Professional		$2,142.19	$3,611.10	$13,345.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,933.74 / $3,045.27 / $4,513.06	Professional		$1,933.74	$3,045.27	$4,513.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,462.58 / $3,251.62 / $3,949.04	Facility		$1,462.58	$3,251.62	$3,949.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,903.43 / $3,276.35 / $4,194.18	Professional		$1,903.43	$3,276.35	$4,194.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $448.53 / $3,288.33	Professional		$120.09	$448.53	$3,288.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,204.48 / $2,896.89 / $3,069.85	Facility		$2,204.48	$2,896.89	$3,069.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,070.21 / $2,070.21 / $2,081.17	Facility		$2,070.21	$2,070.21	$2,081.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,198.16 / $3,463.62 / $4,145.51	Professional		$2,198.16	$3,463.62	$4,145.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,111.34 / $2,993.80 / $4,032.57	Professional		$2,111.34	$2,993.80	$4,032.57
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 $1,895.46 / $2,503.60 / $4,394.97	Professional		$1,895.46	$2,503.60	$4,394.97