Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,504.56 / $5,062.81 / $20,680.40	Facility		$2,504.56	$5,062.81	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.57 / $2,504.56 / $5,515.73	Professional		$1,807.57	$2,504.56	$5,515.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,666.36 / $58,995.56	Facility		$55.00	$2,666.36	$58,995.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,782.42 / $4,671.74 / $20,556.45	Professional		$2,782.42	$4,671.74	$20,556.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,480.52 / $3,923.51 / $5,856.78	Professional		$2,480.52	$3,923.51	$5,856.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,877.98 / $4,163.79 / $5,065.51	Facility		$1,877.98	$4,163.79	$5,065.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,441.57 / $4,163.79 / $5,409.04	Professional		$2,441.57	$4,163.79	$5,409.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,257.42 / $4,380.44	Professional		$232.90	$2,257.42	$4,380.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,877.77 / $3,749.55 / $3,986.84	Facility		$2,877.77	$3,749.55	$3,986.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.36 / $2,666.36 / $2,703.16	Facility		$2,666.36	$2,666.36	$2,703.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,843.80 / $4,480.93 / $5,365.50	Professional		$2,843.80	$4,480.93	$5,365.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,719.33 / $3,888.52 / $5,237.72	Professional		$2,719.33	$3,888.52	$5,237.72
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 $2,512.00 / $3,599.72 / $5,685.84	Professional		$2,512.00	$3,599.72	$5,685.84