Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,063.69 / $5,892.40 / $20,680.40	Facility		$3,063.69	$5,892.40	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.73 / $3,063.69 / $5,993.09	Professional		$2,101.73	$3,063.69	$5,993.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,110.75 / $50,221.75	Facility		$55.00	$3,110.75	$50,221.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.04 / $5,682.04 / $20,288.78	Professional		$3,317.04	$5,682.04	$20,288.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,897.96 / $4,667.74 / $6,818.65	Professional		$2,897.96	$4,667.74	$6,818.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,809.38 / $4,797.00 / $5,917.84	Facility		$2,809.38	$4,797.00	$5,917.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,852.39 / $4,797.00 / $5,917.84	Professional		$2,852.39	$4,797.00	$5,917.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $775.10 / $4,876.01	Professional		$236.86	$775.10	$4,876.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,300.41 / $4,363.14 / $4,652.30	Facility		$3,300.41	$4,363.14	$4,652.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,110.75 / $3,110.75 / $3,150.56	Facility		$3,110.75	$3,110.75	$3,150.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,317.04 / $5,255.30 / $6,461.75	Professional		$3,317.04	$5,255.30	$6,461.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,172.55 / $4,532.12 / $6,104.64	Professional		$3,172.55	$4,532.12	$6,104.64
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 $2,914.45 / $4,562.03 / $6,638.77	Professional		$2,914.45	$4,562.03	$6,638.77