Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.30 / $5,682.73 / $20,680.40	Facility		$2,630.30	$5,682.73	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,950.12 / $2,630.30 / $5,757.57	Professional		$1,950.12	$2,630.30	$5,757.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,808.15 / $61,985.56	Facility		$55.00	$2,808.15	$61,985.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,863.94 / $4,829.05 / $24,205.00	Professional		$2,863.94	$4,829.05	$24,205.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,619.28 / $4,126.99 / $6,148.03	Professional		$2,619.28	$4,126.99	$6,148.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,022.44 / $4,404.37 / $5,349.03	Facility		$2,022.44	$4,404.37	$5,349.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,578.23 / $4,495.50 / $5,726.32	Professional		$2,578.23	$4,495.50	$5,726.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.64 / $561.86 / $4,437.09	Professional		$161.64	$561.86	$4,437.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,164.75 / $3,934.39 / $4,376.43	Facility		$3,164.75	$3,934.39	$4,376.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,808.15 / $2,808.15 / $2,842.08	Facility		$2,808.15	$2,808.15	$2,842.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,993.50 / $4,716.82 / $5,645.43	Professional		$2,993.50	$4,716.82	$5,645.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,863.94 / $4,088.37 / $5,506.92	Professional		$2,863.94	$4,088.37	$5,506.92
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 $2,670.00 / $3,804.33 / $5,985.14	Professional		$2,670.00	$3,804.33	$5,985.14