Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.25 / $5,189.47 / $20,680.40	Facility		$2,559.25	$5,189.47	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.62 / $2,559.25 / $5,285.71	Professional		$1,892.62	$2,559.25	$5,285.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,734.76 / $48,697.53	Facility		$55.00	$2,734.76	$48,697.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,789.09 / $4,683.47 / $20,369.00	Professional		$2,789.09	$4,683.47	$20,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,552.17 / $4,017.28 / $5,978.01	Professional		$2,552.17	$4,017.28	$5,978.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,927.58 / $4,205.37 / $5,211.67	Facility		$1,927.58	$4,205.37	$5,211.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,512.02 / $4,205.37 / $5,551.91	Professional		$2,512.02	$4,205.37	$5,551.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,334.49 / $4,483.88	Professional		$232.90	$2,334.49	$4,483.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,991.55 / $3,823.58 / $4,094.96	Facility		$2,991.55	$3,823.58	$4,094.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.76 / $2,734.76 / $2,765.31	Facility		$2,734.76	$2,734.76	$2,765.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,914.30 / $4,592.03 / $5,496.07	Professional		$2,914.30	$4,592.03	$5,496.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,789.09 / $3,977.93 / $5,358.16	Professional		$2,789.09	$3,977.93	$5,358.16
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 $2,558.07 / $3,588.01 / $5,830.51	Professional		$2,558.07	$3,588.01	$5,830.51