Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,157.96 / $4,341.22 / $20,680.40	Facility		$2,157.96	$4,341.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,585.13 / $2,157.96 / $4,341.22	Professional		$1,585.13	$2,157.96	$4,341.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,302.60 / $31,190.56	Facility		$55.00	$2,302.60	$31,190.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,359.82 / $4,017.27 / $14,863.28	Professional		$2,359.82	$4,017.27	$14,863.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,150.96 / $3,388.11 / $5,028.91	Professional		$2,150.96	$3,388.11	$5,028.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,627.81 / $3,617.02 / $4,392.81	Facility		$1,627.81	$3,617.02	$4,392.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,117.33 / $3,621.73 / $4,708.57	Professional		$2,117.33	$3,621.73	$4,708.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $467.08 / $3,636.49	Professional		$133.70	$467.08	$3,636.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,394.40 / $3,228.01 / $3,438.76	Facility		$2,394.40	$3,228.01	$3,438.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,302.60 / $2,302.60 / $2,317.90	Facility		$2,302.60	$2,302.60	$2,317.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,445.41 / $3,853.20 / $4,611.78	Professional		$2,445.41	$3,853.20	$4,611.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,348.35 / $3,334.33 / $4,491.26	Professional		$2,348.35	$3,334.33	$4,491.26
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 $2,198.42 / $2,955.13 / $4,889.30	Professional		$2,198.42	$2,955.13	$4,889.30