Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.18 / $4,347.09 / $20,680.40	Facility		$1,914.18	$4,347.09	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.42 / $1,914.18 / $3,953.31	Professional		$1,373.42	$1,914.18	$3,953.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,108.26 / $21,664.80	Facility		$55.00	$2,108.26	$21,664.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,242.87 / $3,910.17 / $14,451.08	Professional		$2,242.87	$3,910.17	$14,451.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,948.79 / $3,190.61 / $4,695.10	Professional		$1,948.79	$3,190.61	$4,695.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,866.73 / $3,151.30 / $3,978.09	Facility		$1,866.73	$3,151.30	$3,978.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,917.43 / $3,151.30 / $3,978.09	Professional		$1,917.43	$3,151.30	$3,978.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $523.52 / $3,317.85	Professional		$160.08	$523.52	$3,317.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,204.96 / $2,974.97 / $3,194.56	Facility		$2,204.96	$2,974.97	$3,194.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,108.26 / $2,108.26 / $2,178.98	Facility		$2,108.26	$2,108.26	$2,178.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,242.87 / $3,621.53 / $4,469.05	Professional		$2,242.87	$3,621.53	$4,469.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,150.15 / $3,134.49 / $4,222.06	Professional		$2,150.15	$3,134.49	$4,222.06
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 $1,953.39 / $3,160.51 / $4,563.93	Professional		$1,953.39	$3,160.51	$4,563.93