Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,552.11 / $5,173.59 / $20,680.40	Facility		$2,552.11	$5,173.59	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,552.11 / $5,265.10	Professional		$1,869.78	$2,552.11	$5,265.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,724.34 / $60,151.52	Facility		$55.00	$2,724.34	$60,151.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,778.47 / $4,671.09 / $20,369.00	Professional		$2,778.47	$4,671.09	$20,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,542.14 / $4,003.96 / $5,966.43	Professional		$2,542.14	$4,003.96	$5,966.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,921.69 / $4,274.60 / $5,191.42	Facility		$1,921.69	$4,274.60	$5,191.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,502.26 / $4,363.04 / $5,487.30	Professional		$2,502.26	$4,363.04	$5,487.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,321.08 / $4,470.50	Professional		$232.90	$2,321.08	$4,470.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,949.80 / $3,818.13 / $4,089.52	Facility		$2,949.80	$3,818.13	$4,089.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,724.34 / $2,724.34 / $2,758.00	Facility		$2,724.34	$2,724.34	$2,758.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,883.92 / $4,575.29 / $5,476.04	Professional		$2,883.92	$4,575.29	$5,476.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,778.47 / $3,967.41 / $5,343.99	Professional		$2,778.47	$3,967.41	$5,343.99
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 $2,579.50 / $3,463.81 / $5,805.56	Professional		$2,579.50	$3,463.81	$5,805.56