Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,431.73 / $5,253.24 / $20,680.40	Facility		$2,431.73	$5,253.24	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.98 / $2,431.73 / $5,778.86	Professional		$1,402.98	$2,431.73	$5,778.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,596.14 / $57,268.64	Facility		$55.00	$2,596.14	$57,268.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,702.92 / $4,543.22 / $19,208.08	Professional		$2,702.92	$4,543.22	$19,208.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,421.55 / $3,815.05 / $5,679.88	Professional		$2,421.55	$3,815.05	$5,679.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,886.66 / $3,860.33 / $4,944.88	Facility		$1,886.66	$3,860.33	$4,944.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,383.42 / $3,917.16 / $5,294.11	Professional		$2,383.42	$3,917.16	$5,294.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.03 / $2,193.32 / $4,285.11	Professional		$230.03	$2,193.32	$4,285.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,898.72 / $3,634.61 / $4,046.13	Facility		$2,898.72	$3,634.61	$4,046.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,596.14 / $2,596.14 / $2,625.92	Facility		$2,596.14	$2,596.14	$2,625.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,765.57 / $4,357.67 / $5,215.58	Professional		$2,765.57	$4,357.67	$5,215.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,647.72 / $3,777.42 / $5,088.08	Professional		$2,647.72	$3,777.42	$5,088.08
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 $2,448.50 / $3,798.23 / $5,529.42	Professional		$2,448.50	$3,798.23	$5,529.42