Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,699.98 / $5,459.41 / $20,680.40	Facility		$2,699.98	$5,459.41	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,945.92 / $2,699.98 / $6,099.77	Professional		$1,945.92	$2,699.98	$6,099.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,874.74 / $63,618.88	Facility		$55.00	$2,874.74	$63,618.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.68 / $5,038.25 / $27,293.42	Professional		$3,000.68	$5,038.25	$27,293.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,675.17 / $4,229.64 / $6,315.17	Professional		$2,675.17	$4,229.64	$6,315.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,025.23 / $4,497.89 / $5,462.62	Facility		$2,025.23	$4,497.89	$5,462.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,632.97 / $4,579.53 / $5,783.05	Professional		$2,632.97	$4,579.53	$5,783.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $575.84 / $4,545.04	Professional		$164.36	$575.84	$4,545.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,168.77 / $4,041.43 / $4,315.28	Facility		$3,168.77	$4,041.43	$4,315.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,874.74 / $2,874.74 / $2,915.20	Facility		$2,874.74	$2,874.74	$2,915.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,037.61 / $4,832.47 / $5,786.39	Professional		$3,037.61	$4,832.47	$5,786.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,931.85 / $4,193.56 / $5,648.60	Professional		$2,931.85	$4,193.56	$5,648.60
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 $2,732.55 / $4,118.39 / $6,131.91	Professional		$2,732.55	$4,118.39	$6,131.91