Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,053.65 / $4,469.89 / $20,680.40	Facility		$2,053.65	$4,469.89	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.11 / $2,053.65 / $4,469.89	Professional		$1,633.11	$2,053.65	$4,469.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,242.35 / $30,271.52	Facility		$55.00	$2,242.35	$30,271.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,327.07 / $3,909.38 / $14,576.55	Professional		$2,327.07	$3,909.38	$14,576.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,086.37 / $3,273.58 / $4,865.10	Professional		$2,086.37	$3,273.58	$4,865.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,885.73 / $3,571.34 / $4,261.62	Facility		$1,885.73	$3,571.34	$4,261.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,054.09 / $3,571.34 / $4,533.71	Professional		$2,054.09	$3,571.34	$4,533.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $457.91 / $3,491.43	Professional		$133.70	$457.91	$3,491.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,443.82 / $3,116.91 / $3,379.48	Facility		$2,443.82	$3,116.91	$3,379.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,242.35 / $2,242.35 / $2,260.78	Facility		$2,242.35	$2,242.35	$2,260.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,379.73 / $3,749.72 / $4,487.93	Professional		$2,379.73	$3,749.72	$4,487.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,286.90 / $3,252.15 / $4,380.57	Professional		$2,286.90	$3,252.15	$4,380.57
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 $2,161.28 / $3,291.04 / $4,757.97	Professional		$2,161.28	$3,291.04	$4,757.97