Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,071.46 / $4,385.66 / $20,680.40	Facility		$2,071.46	$4,385.66	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,672.06 / $2,071.46 / $4,385.66	Professional		$1,672.06	$2,071.46	$4,385.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,261.83 / $30,538.56	Facility		$55.00	$2,261.83	$30,538.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,347.77 / $3,941.11 / $14,708.03	Professional		$2,347.77	$3,941.11	$14,708.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,104.19 / $3,301.88 / $4,908.00	Professional		$2,104.19	$3,301.88	$4,908.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,593.40 / $3,538.72 / $4,297.72	Facility		$1,593.40	$3,538.72	$4,297.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,071.48 / $3,584.15 / $4,572.27	Professional		$2,071.48	$3,584.15	$4,572.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $459.37 / $3,550.18	Professional		$133.70	$459.37	$3,550.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,492.14 / $3,143.76 / $3,395.24	Facility		$2,492.14	$3,143.76	$3,395.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,261.83 / $2,261.83 / $2,280.89	Facility		$2,261.83	$2,261.83	$2,280.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,399.05 / $3,780.15 / $4,527.34	Professional		$2,399.05	$3,780.15	$4,527.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,306.77 / $3,281.08 / $4,419.53	Professional		$2,306.77	$3,281.08	$4,419.53
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 $2,179.33 / $3,025.28 / $4,796.62	Professional		$2,179.33	$3,025.28	$4,796.62