Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.29 / $4,172.80 / $20,680.40	Facility		$1,938.29	$4,172.80	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.44 / $1,938.29 / $4,172.80	Professional		$1,547.44	$1,938.29	$4,172.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,115.96 / $28,576.96	Facility		$55.00	$2,115.96	$28,576.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,196.77 / $3,689.64 / $13,761.38	Professional		$2,196.77	$3,689.64	$13,761.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,968.27 / $3,089.42 / $4,593.22	Professional		$1,968.27	$3,089.42	$4,593.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,491.10 / $3,310.35 / $4,020.36	Facility		$1,491.10	$3,310.35	$4,020.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,937.81 / $3,356.54 / $4,278.14	Professional		$1,937.81	$3,356.54	$4,278.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $445.10 / $3,350.20	Professional		$133.70	$445.10	$3,350.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,306.21 / $2,942.43 / $3,189.20	Facility		$2,306.21	$2,942.43	$3,189.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.96 / $2,115.96 / $2,134.19	Facility		$2,115.96	$2,115.96	$2,134.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,245.96 / $3,538.95 / $4,236.16	Professional		$2,245.96	$3,538.95	$4,236.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,158.00 / $3,070.06 / $4,135.29	Professional		$2,158.00	$3,070.06	$4,135.29
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 $1,992.19 / $2,799.08 / $4,490.53	Professional		$1,992.19	$2,799.08	$4,490.53