Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,422.23 / $5,020.21 / $20,680.40	Facility		$2,422.23	$5,020.21	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,738.23 / $2,422.23 / $5,020.21	Professional		$1,738.23	$2,422.23	$5,020.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,670.44 / $27,428.88	Facility		$55.00	$2,670.44	$27,428.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.82 / $4,967.55 / $18,312.00	Professional		$2,806.82	$4,967.55	$18,312.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.58 / $4,037.67 / $5,942.96	Professional		$2,465.58	$4,037.67	$5,942.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,359.14 / $3,986.91 / $5,032.93	Facility		$2,359.14	$3,986.91	$5,032.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,425.87 / $3,986.91 / $5,032.93	Professional		$2,425.87	$3,986.91	$5,032.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $732.19 / $4,271.07	Professional		$200.71	$732.19	$4,271.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,805.74 / $3,763.37 / $4,046.13	Facility		$2,805.74	$3,763.37	$4,046.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.44 / $2,670.44 / $2,759.82	Facility		$2,670.44	$2,670.44	$2,759.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,840.75 / $4,588.53 / $5,660.35	Professional		$2,840.75	$4,588.53	$5,660.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,723.49 / $3,970.04 / $5,347.53	Professional		$2,723.49	$3,970.04	$5,347.53
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,437.04 / $4,007.51 / $5,778.52	Professional		$2,437.04	$4,007.51	$5,778.52