Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,943.48 / $5,643.67 / $20,680.40	Facility		$2,943.48	$5,643.67	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.11 / $2,943.48 / $5,643.67	Professional		$1,696.11	$2,943.48	$5,643.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,829.44 / $17,152.87	Facility		$55.00	$2,829.44	$17,152.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,996.25 / $5,222.35 / $18,067.88	Professional		$2,996.25	$5,222.35	$18,067.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,626.40 / $4,389.33 / $6,419.96	Professional		$2,626.40	$4,389.33	$6,419.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,583.73 / $4,246.38 / $5,360.48	Facility		$2,583.73	$4,246.38	$5,360.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,583.73 / $4,246.38 / $5,428.40	Professional		$2,583.73	$4,246.38	$5,428.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $769.18 / $4,571.81	Professional		$219.60	$769.18	$4,571.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,997.60 / $4,046.13 / $4,206.93	Facility		$2,997.60	$4,046.13	$4,206.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,829.44 / $2,829.44 / $2,869.50	Facility		$2,829.44	$2,829.44	$2,869.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,038.41 / $4,787.58 / $5,885.31	Professional		$3,038.41	$4,787.58	$5,885.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,885.65 / $4,127.82 / $5,560.05	Professional		$2,885.65	$4,127.82	$5,560.05
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 $2,654.45 / $4,544.70 / $6,074.92	Professional		$2,654.45	$4,544.70	$6,074.92