Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,718.54 / $5,495.52 / $20,680.40	Facility		$2,718.54	$5,495.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,923.49 / $2,718.54 / $5,584.49	Professional		$1,923.49	$2,718.54	$5,584.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,895.58 / $51,728.88	Facility		$55.00	$2,895.58	$51,728.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,953.10 / $4,986.68 / $19,176.00	Professional		$2,953.10	$4,986.68	$19,176.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,693.78 / $4,259.84 / $6,357.23	Professional		$2,693.78	$4,259.84	$6,357.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,038.87 / $4,357.28 / $5,500.48	Facility		$2,038.87	$4,357.28	$5,500.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,651.22 / $4,391.64 / $5,822.18	Professional		$2,651.22	$4,391.64	$5,822.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $581.13 / $4,573.64	Professional		$164.36	$581.13	$4,573.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,076.09 / $4,070.47 / $4,330.24	Facility		$3,076.09	$4,070.47	$4,330.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,895.58 / $2,895.58 / $2,934.85	Facility		$2,895.58	$2,895.58	$2,934.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,057.82 / $4,867.47 / $5,825.75	Professional		$3,057.82	$4,867.47	$5,825.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,953.10 / $4,221.82 / $5,686.68	Professional		$2,953.10	$4,221.82	$5,686.68
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 $2,648.94 / $3,784.20 / $6,176.30	Professional		$2,648.94	$3,784.20	$6,176.30