Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,493.16 / $5,053.46 / $20,680.40	Facility		$2,493.16	$5,053.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,795.96 / $2,493.16 / $5,138.74	Professional		$1,795.96	$2,493.16	$5,138.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,658.20 / $58,762.60	Facility		$55.00	$2,658.20	$58,762.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,772.54 / $4,656.67 / $25,948.28	Professional		$2,772.54	$4,656.67	$25,948.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,479.40 / $3,908.63 / $5,830.75	Professional		$2,479.40	$3,908.63	$5,830.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,875.50 / $4,168.75 / $5,062.87	Facility		$1,875.50	$4,168.75	$5,062.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,440.30 / $4,255.00 / $5,308.03	Professional		$2,440.30	$4,255.00	$5,308.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,276.41 / $4,436.47	Professional		$232.90	$2,276.41	$4,436.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,937.11 / $3,731.13 / $3,990.24	Facility		$2,937.11	$3,731.13	$3,990.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,658.20 / $2,658.20 / $2,693.56	Facility		$2,658.20	$2,658.20	$2,693.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,785.22 / $4,466.47 / $5,346.45	Professional		$2,785.22	$4,466.47	$5,346.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,711.02 / $3,874.72 / $5,219.14	Professional		$2,711.02	$3,874.72	$5,219.14
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 $2,552.44 / $3,596.63 / $5,667.49	Professional		$2,552.44	$3,596.63	$5,667.49