Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,773.89 / $5,312.21 / $20,680.40	Facility		$2,773.89	$5,312.21	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,672.09 / $2,773.89 / $5,312.21	Professional		$1,672.09	$2,773.89	$5,312.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,706.22 / $18,816.16	Facility		$55.00	$2,706.22	$18,816.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,904.60 / $4,989.67 / $17,331.23	Professional		$2,904.60	$4,989.67	$17,331.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,504.69 / $4,193.74 / $6,109.10	Professional		$2,504.69	$4,193.74	$6,109.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,464.48 / $4,082.32 / $5,113.06	Facility		$2,464.48	$4,082.32	$5,113.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,464.48 / $4,082.32 / $5,153.57	Professional		$2,464.48	$4,082.32	$5,153.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $763.45 / $4,361.39	Professional		$219.60	$763.45	$4,361.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,849.34 / $3,888.73 / $4,041.44	Facility		$2,849.34	$3,888.73	$4,041.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,706.22 / $2,706.22 / $2,756.62	Facility		$2,706.22	$2,706.22	$2,756.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,912.85 / $4,598.18 / $5,653.79	Professional		$2,912.85	$4,598.18	$5,653.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,759.99 / $3,965.43 / $5,341.34	Professional		$2,759.99	$3,965.43	$5,341.34
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 $2,547.17 / $4,096.50 / $5,823.91	Professional		$2,547.17	$4,096.50	$5,823.91