Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,982.88 / $6,092.73 / $20,680.40	Facility		$2,982.88	$6,092.73	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,305.46 / $2,982.88 / $6,200.14	Professional		$2,305.46	$2,982.88	$6,200.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,189.12 / $56,602.98	Facility		$55.00	$3,189.12	$56,602.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,266.66 / $5,561.03 / $20,567.84	Professional		$3,266.66	$5,561.03	$20,567.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,987.78 / $4,687.60 / $6,947.77	Professional		$2,987.78	$4,687.60	$6,947.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,258.04 / $4,952.10 / $6,101.86	Facility		$2,258.04	$4,952.10	$6,101.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,941.09 / $4,952.10 / $6,528.34	Professional		$2,941.09	$4,952.10	$6,528.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $630.55 / $5,033.36	Professional		$164.36	$630.55	$5,033.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,414.76 / $4,460.70 / $4,769.72	Facility		$3,414.76	$4,460.70	$4,769.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.12 / $3,189.12 / $3,206.77	Facility		$3,189.12	$3,189.12	$3,206.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,385.13 / $5,333.91 / $6,384.01	Professional		$3,385.13	$5,333.91	$6,384.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,252.48 / $4,612.97 / $6,213.55	Professional		$3,252.48	$4,612.97	$6,213.55
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 $2,926.97 / $4,181.39 / $6,899.29	Professional		$2,926.97	$4,181.39	$6,899.29