Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,928.98 / $5,925.53 / $20,680.40	Facility		$2,928.98	$5,925.53	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.37 / $2,928.98 / $6,624.23	Professional		$1,892.37	$2,928.98	$6,624.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,122.08 / $69,035.98	Facility		$55.00	$3,122.08	$69,035.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,257.05 / $5,469.01 / $27,409.13	Professional		$3,257.05	$5,469.01	$27,409.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,906.02 / $4,591.71 / $6,851.19	Professional		$2,906.02	$4,591.71	$6,851.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,198.83 / $4,886.50 / $5,934.57	Facility		$2,198.83	$4,886.50	$5,934.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,860.45 / $4,987.60 / $6,349.07	Professional		$2,860.45	$4,987.60	$6,349.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $620.48 / $4,964.53	Professional		$164.36	$620.48	$4,964.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,319.31 / $4,383.33 / $4,699.50	Facility		$3,319.31	$4,383.33	$4,699.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,122.08 / $3,122.08 / $3,164.27	Facility		$3,122.08	$3,122.08	$3,164.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,329.11 / $5,245.64 / $6,280.76	Professional		$3,329.11	$5,245.64	$6,280.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,184.10 / $4,551.84 / $6,131.20	Professional		$3,184.10	$4,551.84	$6,131.20
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 $2,994.65 / $4,831.76 / $6,836.63	Professional		$2,994.65	$4,831.76	$6,836.63