Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,850.58 / $3,915.26 / $20,680.40	Facility		$1,850.58	$3,915.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.02 / $1,850.58 / $3,915.26	Professional		$1,477.02	$1,850.58	$3,915.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,019.02 / $27,291.68	Facility		$55.00	$2,019.02	$27,291.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,097.98 / $3,521.46 / $13,144.13	Professional		$2,097.98	$3,521.46	$13,144.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.85 / $2,948.42 / $4,387.06	Professional		$1,877.85	$2,948.42	$4,387.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,423.52 / $3,158.10 / $3,835.45	Facility		$1,423.52	$3,158.10	$3,835.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,848.68 / $3,204.80 / $4,081.77	Professional		$1,848.68	$3,204.80	$4,081.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $433.45 / $3,159.00	Professional		$108.09	$433.45	$3,159.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,230.48 / $2,809.04 / $3,030.76	Facility		$2,230.48	$2,809.04	$3,030.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,019.02 / $2,019.02 / $2,038.22	Facility		$2,019.02	$2,019.02	$2,038.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,143.59 / $3,377.64 / $4,045.67	Professional		$2,143.59	$3,377.64	$4,045.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,059.13 / $2,932.00 / $3,949.33	Professional		$2,059.13	$2,932.00	$3,949.33
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 $1,857.66 / $2,632.66 / $4,285.85	Professional		$1,857.66	$2,632.66	$4,285.85