Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.86 / $4,975.91 / $20,680.40	Facility		$2,454.86	$4,975.91	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.95 / $2,454.86 / $5,059.25	Professional		$1,808.95	$2,454.86	$5,059.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,616.53 / $57,828.68	Facility		$55.00	$2,616.53	$57,828.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,692.08 / $4,573.07 / $21,294.10	Professional		$2,692.08	$4,573.07	$21,294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,441.12 / $3,847.47 / $5,738.25	Professional		$2,441.12	$3,847.47	$5,738.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,846.98 / $4,104.95 / $4,985.39	Facility		$1,846.98	$4,104.95	$4,985.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,402.94 / $4,189.88 / $5,315.31	Professional		$2,402.94	$4,189.88	$5,315.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.52 / $2,155.69 / $4,243.11	Professional		$228.52	$2,155.69	$4,243.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,934.54 / $3,672.13 / $3,915.44	Facility		$2,934.54	$3,672.13	$3,915.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,616.53 / $2,616.53 / $2,650.60	Facility		$2,616.53	$2,616.53	$2,650.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,789.71 / $4,395.72 / $5,261.18	Professional		$2,789.71	$4,395.72	$5,261.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,668.51 / $3,812.92 / $5,135.89	Professional		$2,668.51	$3,812.92	$5,135.89
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 $2,455.31 / $3,265.39 / $5,577.69	Professional		$2,455.31	$3,265.39	$5,577.69