Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,614.79 / $5,638.75 / $20,680.40	Facility		$2,614.79	$5,638.75	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,695.39 / $2,614.79 / $5,709.75	Professional		$1,695.39	$2,614.79	$5,709.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,789.12 / $61,629.36	Facility		$55.00	$2,789.12	$61,629.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,844.53 / $4,741.04 / $19,413.43	Professional		$2,844.53	$4,741.04	$19,413.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,602.31 / $4,100.63 / $6,114.70	Professional		$2,602.31	$4,100.63	$6,114.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,968.19 / $4,375.37 / $5,313.81	Facility		$1,968.19	$4,375.37	$5,313.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,561.25 / $4,465.89 / $5,681.13	Professional		$2,561.25	$4,465.89	$5,681.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.52 / $2,348.67 / $4,555.32	Professional		$228.52	$2,348.67	$4,555.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,137.14 / $3,913.68 / $4,338.25	Facility		$3,137.14	$3,913.68	$4,338.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,789.12 / $2,789.12 / $2,825.17	Facility		$2,789.12	$2,789.12	$2,825.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,973.70 / $4,685.62 / $5,608.09	Professional		$2,973.70	$4,685.62	$5,608.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,844.53 / $4,064.04 / $5,474.16	Professional		$2,844.53	$4,064.04	$5,474.16
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 $2,679.61 / $3,767.14 / $5,945.54	Professional		$2,679.61	$3,767.14	$5,945.54