Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,702.77 / $5,853.52 / $20,680.40	Facility		$2,702.77	$5,853.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.97 / $2,702.77 / $5,934.57	Professional		$1,752.97	$2,702.77	$5,934.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,888.78 / $63,675.04	Facility		$55.00	$2,888.78	$63,675.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,946.17 / $4,946.63 / $24,546.00	Professional		$2,946.17	$4,946.63	$24,546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,695.21 / $4,242.93 / $6,313.07	Professional		$2,695.21	$4,242.93	$6,313.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,104.59 / $4,531.97 / $5,504.00	Facility		$2,104.59	$4,531.97	$5,504.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,652.92 / $4,625.74 / $5,887.73	Professional		$2,652.92	$4,625.74	$5,887.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $575.70 / $4,529.83	Professional		$164.36	$575.70	$4,529.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,263.59 / $4,038.74 / $4,513.12	Facility		$3,263.59	$4,038.74	$4,513.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,888.78 / $2,888.78 / $2,920.69	Facility		$2,888.78	$2,888.78	$2,920.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,006.33 / $4,849.97 / $5,804.80	Professional		$3,006.33	$4,849.97	$5,804.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,946.17 / $4,201.43 / $5,659.23	Professional		$2,946.17	$4,201.43	$5,659.23
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 $2,652.72 / $3,915.93 / $6,158.10	Professional		$2,652.72	$3,915.93	$6,158.10