Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,577.54 / $5,251.55 / $20,680.40	Facility		$2,577.54	$5,251.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.15 / $2,577.54 / $5,256.83	Professional		$1,697.15	$2,577.54	$5,256.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,702.60 / $5,897.00 / $14,021.64	Facility		$2,702.60	$5,897.00	$14,021.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,833.22 / $4,738.80 / $25,823.26	Professional		$2,833.22	$4,738.80	$25,823.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,524.71 / $4,158.93 / $6,061.21	Professional		$2,524.71	$4,158.93	$6,061.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,484.42 / $4,083.16 / $5,154.43	Facility		$2,484.42	$4,083.16	$5,154.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,484.42 / $4,115.35 / $5,175.18	Professional		$2,484.42	$4,115.35	$5,175.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $903.62 / $4,143.24	Professional		$200.71	$903.62	$4,143.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,989.98 / $3,908.97 / $4,040.56	Facility		$2,989.98	$3,908.97	$4,040.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,702.60 / $2,702.60 / $2,752.51	Facility		$2,702.60	$2,702.60	$2,752.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,905.13 / $4,591.33 / $5,645.36	Professional		$2,905.13	$4,591.33	$5,645.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,756.29 / $3,959.52 / $5,333.37	Professional		$2,756.29	$3,959.52	$5,333.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,537.44 / $4,241.88 / $5,927.56	Professional		$2,537.44	$4,241.88	$5,927.56