Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,557.10 / $5,184.17 / $20,680.40	Facility		$2,557.10	$5,184.17	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,906.07 / $2,557.10 / $5,272.17	Professional		$1,906.07	$2,557.10	$5,272.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,727.51 / $60,275.28	Facility		$55.00	$2,727.51	$60,275.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,781.70 / $4,679.60 / $21,818.00	Professional		$2,781.70	$4,679.60	$21,818.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,544.83 / $4,010.24 / $5,980.54	Professional		$2,544.83	$4,010.24	$5,980.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,924.79 / $4,278.95 / $5,196.71	Facility		$1,924.79	$4,278.95	$5,196.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,504.80 / $4,367.47 / $5,509.14	Professional		$2,504.80	$4,367.47	$5,509.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,370.24 / $4,553.04	Professional		$232.90	$2,370.24	$4,553.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,021.63 / $3,827.83 / $4,094.28	Facility		$3,021.63	$3,827.83	$4,094.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,727.51 / $2,727.51 / $2,763.02	Facility		$2,727.51	$2,727.51	$2,763.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,890.03 / $4,582.89 / $5,485.15	Professional		$2,890.03	$4,582.89	$5,485.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,781.70 / $3,974.64 / $5,353.73	Professional		$2,781.70	$3,974.64	$5,353.73
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 $2,619.32 / $3,571.80 / $5,815.22	Professional		$2,619.32	$3,571.80	$5,815.22