Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,494.76 / $5,042.09 / $20,680.40	Facility		$2,494.76	$5,042.09	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.56 / $2,494.76 / $5,121.05	Professional		$1,819.56	$2,494.76	$5,121.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,655.49 / $58,762.08	Facility		$55.00	$2,655.49	$58,762.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,708.24 / $4,574.35 / $23,779.00	Professional		$2,708.24	$4,574.35	$23,779.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,470.03 / $3,907.89 / $5,834.16	Professional		$2,470.03	$3,907.89	$5,834.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,870.54 / $4,152.80 / $5,043.50	Facility		$1,870.54	$4,152.80	$5,043.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,430.96 / $4,238.72 / $5,341.70	Professional		$2,430.96	$4,238.72	$5,341.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,244.31 / $4,353.73	Professional		$232.90	$2,244.31	$4,353.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,865.03 / $3,734.83 / $3,986.16	Facility		$2,865.03	$3,734.83	$3,986.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,655.49 / $2,655.49 / $2,692.19	Facility		$2,655.49	$2,655.49	$2,692.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,804.96 / $4,461.92 / $5,343.73	Professional		$2,804.96	$4,461.92	$5,343.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,708.24 / $3,872.74 / $5,216.47	Professional		$2,708.24	$3,872.74	$5,216.47
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 $2,485.83 / $3,468.60 / $5,661.71	Professional		$2,485.83	$3,468.60	$5,661.71