Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,673.36 / $5,419.21 / $20,680.40	Facility		$2,673.36	$5,419.21	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.95 / $2,673.36 / $5,512.22	Professional		$1,991.95	$2,673.36	$5,512.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,851.64 / $50,894.76	Facility		$55.00	$2,851.64	$50,894.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,908.29 / $4,892.45 / $20,881.00	Professional		$2,908.29	$4,892.45	$20,881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,659.34 / $4,192.18 / $6,251.63	Professional		$2,659.34	$4,192.18	$6,251.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,011.28 / $4,471.80 / $5,430.92	Facility		$2,011.28	$4,471.80	$5,430.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,617.69 / $4,564.32 / $5,789.42	Professional		$2,617.69	$4,564.32	$5,789.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $575.10 / $4,476.22	Professional		$164.36	$575.10	$4,476.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,214.51 / $4,000.65 / $4,267.00	Facility		$3,214.51	$4,000.65	$4,267.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.64 / $2,851.64 / $2,888.70	Facility		$2,851.64	$2,851.64	$2,888.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,039.86 / $4,789.87 / $5,733.78	Professional		$3,039.86	$4,789.87	$5,733.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,908.29 / $4,155.42 / $5,597.25	Professional		$2,908.29	$4,155.42	$5,597.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,672.21 / $3,780.72 / $6,077.83	Professional		$2,672.21	$3,780.72	$6,077.83