Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,727.20 / $5,206.09 / $20,680.40	Facility		$2,727.20	$5,206.09	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.10 / $2,727.20 / $5,206.09	Professional		$1,574.10	$2,727.20	$5,206.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,620.15 / $15,890.14	Facility		$55.00	$2,620.15	$15,890.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,771.59 / $4,838.07 / $16,737.83	Professional		$2,771.59	$4,838.07	$16,737.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.48 / $4,067.73 / $5,947.05	Professional		$2,426.48	$4,067.73	$5,947.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,387.25 / $3,923.43 / $4,952.81	Facility		$2,387.25	$3,923.43	$4,952.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,387.25 / $3,923.43 / $5,017.96	Professional		$2,387.25	$3,923.43	$5,017.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $759.22 / $4,173.66	Professional		$219.60	$759.22	$4,173.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,762.13 / $3,741.28 / $3,896.72	Facility		$2,762.13	$3,741.28	$3,896.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,620.15 / $2,620.15 / $2,657.91	Facility		$2,620.15	$2,620.15	$2,657.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,814.82 / $4,435.29 / $5,451.34	Professional		$2,814.82	$4,435.29	$5,451.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,672.21 / $3,823.44 / $5,150.07	Professional		$2,672.21	$3,823.44	$5,150.07
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 $2,454.19 / $4,110.02 / $5,627.89	Professional		$2,454.19	$4,110.02	$5,627.89