Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.23 / $5,237.21 / $20,680.40	Facility		$2,453.23	$5,237.21	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,572.90 / $2,453.23 / $5,293.31	Professional		$1,572.90	$2,453.23	$5,293.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,607.02 / $57,785.52	Facility		$55.00	$2,607.02	$57,785.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,658.81 / $4,482.22 / $25,568.00	Professional		$2,658.81	$4,482.22	$25,568.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,425.17 / $3,839.16 / $5,739.97	Professional		$2,425.17	$3,839.16	$5,739.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,877.67 / $4,077.40 / $4,951.93	Facility		$1,877.67	$4,077.40	$4,951.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,386.82 / $4,161.76 / $5,317.43	Professional		$2,386.82	$4,161.76	$5,317.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $515.40 / $4,112.85	Professional		$133.70	$515.40	$4,112.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,904.58 / $3,675.03 / $4,016.65	Facility		$2,904.58	$3,675.03	$4,016.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,607.02 / $2,607.02 / $2,646.49	Facility		$2,607.02	$2,607.02	$2,646.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,781.50 / $4,382.78 / $5,253.02	Professional		$2,781.50	$4,382.78	$5,253.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,658.81 / $3,807.00 / $5,127.93	Professional		$2,658.81	$3,807.00	$5,127.93
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 $2,391.07 / $3,799.57 / $5,614.28	Professional		$2,391.07	$3,799.57	$5,614.28