Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.26 / $4,475.21 / $20,680.40	Facility		$2,016.26	$4,475.21	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.04 / $2,016.26 / $4,475.21	Professional		$1,608.04	$2,016.26	$4,475.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,199.77 / $29,708.48	Facility		$55.00	$2,199.77	$29,708.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,243.46 / $3,721.70 / $16,656.09	Professional		$2,243.46	$3,721.70	$16,656.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,134.26 / $3,211.82 / $4,774.89	Professional		$2,134.26	$3,211.82	$4,774.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,621.30 / $3,504.29 / $4,358.47	Facility		$1,621.30	$3,504.29	$4,358.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,100.78 / $3,504.29 / $4,653.87	Professional		$2,100.78	$3,504.29	$4,653.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $454.31 / $3,436.96	Professional		$136.86	$454.31	$3,436.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,584.36 / $3,059.17 / $3,412.31	Facility		$2,584.36	$3,059.17	$3,412.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,199.77 / $2,199.77 / $2,218.73	Facility		$2,199.77	$2,199.77	$2,218.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,334.34 / $3,678.19 / $4,403.97	Professional		$2,334.34	$3,678.19	$4,403.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,243.46 / $3,191.68 / $4,299.10	Professional		$2,243.46	$3,191.68	$4,299.10
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 $2,121.67 / $2,913.91 / $4,667.24	Professional		$2,121.67	$2,913.91	$4,667.24