Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.31 / $5,864.01 / $20,680.40	Facility		$2,897.31	$5,864.01	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,136.85 / $2,897.31 / $5,960.40	Professional		$2,136.85	$2,897.31	$5,960.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,084.48 / $55,050.24	Facility		$55.00	$3,084.48	$55,050.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,208.60 / $5,396.03 / $22,658.53	Professional		$3,208.60	$5,396.03	$22,658.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,886.89 / $4,540.68 / $6,762.69	Professional		$2,886.89	$4,540.68	$6,762.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,184.88 / $4,853.87 / $5,894.94	Facility		$2,184.88	$4,853.87	$5,894.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,841.35 / $4,895.33 / $6,319.94	Professional		$2,841.35	$4,895.33	$6,319.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.42 / $607.65 / $4,853.30	Professional		$163.42	$607.65	$4,853.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,288.67 / $4,332.74 / $4,613.80	Facility		$3,288.67	$4,332.74	$4,613.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,084.48 / $3,084.48 / $3,117.20	Facility		$3,084.48	$3,084.48	$3,117.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,284.69 / $5,175.64 / $6,194.58	Professional		$3,284.69	$5,175.64	$6,194.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,145.76 / $4,484.12 / $6,040.00	Professional		$3,145.76	$4,484.12	$6,040.00
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 $2,883.59 / $3,971.31 / $6,587.09	Professional		$2,883.59	$3,971.31	$6,587.09