Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.63 / $4,541.45 / $20,680.40	Facility		$2,147.63	$4,541.45	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.31 / $2,147.63 / $4,640.72	Professional		$1,525.31	$2,147.63	$4,640.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,345.17 / $31,662.40	Facility		$55.00	$2,345.17	$31,662.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,391.77 / $4,078.32 / $15,251.25	Professional		$2,391.77	$4,078.32	$15,251.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,182.85 / $3,423.40 / $5,088.38	Professional		$2,182.85	$3,423.40	$5,088.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,639.59 / $3,671.40 / $4,467.07	Facility		$1,639.59	$3,671.40	$4,467.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,149.16 / $3,715.52 / $4,495.04	Professional		$2,149.16	$3,715.52	$4,495.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $475.44 / $3,631.89	Professional		$136.86	$475.44	$3,631.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,566.13 / $3,258.75 / $3,540.28	Facility		$2,566.13	$3,258.75	$3,540.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,345.17 / $2,345.17 / $2,364.98	Facility		$2,345.17	$2,345.17	$2,364.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,434.32 / $3,920.16 / $4,694.24	Professional		$2,434.32	$3,920.16	$4,694.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,391.77 / $3,402.05 / $4,582.46	Professional		$2,391.77	$3,402.05	$4,582.46
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 $2,210.21 / $3,084.01 / $4,974.26	Professional		$2,210.21	$3,084.01	$4,974.26