Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,530.42 / $5,129.56 / $20,680.40	Facility		$2,530.42	$5,129.56	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.69 / $2,530.42 / $5,216.13	Professional		$1,879.69	$2,530.42	$5,216.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,697.16 / $59,600.84	Facility		$55.00	$2,697.16	$59,600.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,750.75 / $4,583.97 / $18,741.21	Professional		$2,750.75	$4,583.97	$18,741.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,517.23 / $3,965.85 / $5,913.73	Professional		$2,517.23	$3,965.85	$5,913.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,955.17 / $4,232.55 / $5,140.35	Facility		$1,955.17	$4,232.55	$5,140.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,477.64 / $4,320.12 / $5,508.42	Professional		$2,477.64	$4,320.12	$5,508.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.22 / $2,301.38 / $4,467.23	Professional		$230.22	$2,301.38	$4,467.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,182.06 / $3,784.82 / $4,048.72	Facility		$3,182.06	$3,784.82	$4,048.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,697.16 / $2,697.16 / $2,731.95	Facility		$2,697.16	$2,697.16	$2,731.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,875.19 / $4,530.39 / $5,422.64	Professional		$2,875.19	$4,530.39	$5,422.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,750.75 / $3,929.94 / $5,293.52	Professional		$2,750.75	$3,929.94	$5,293.52
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 $2,544.00 / $3,514.26 / $5,748.58	Professional		$2,544.00	$3,514.26	$5,748.58