Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,886.92 / $6,246.00 / $20,680.40	Facility		$2,886.92	$6,246.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.64 / $2,886.92 / $6,331.19	Professional		$1,880.64	$2,886.92	$6,331.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,084.02 / $68,001.44	Facility		$55.00	$3,084.02	$68,001.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,145.30 / $5,298.84 / $26,421.00	Professional		$3,145.30	$5,298.84	$26,421.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,876.87 / $4,530.60 / $6,742.80	Professional		$2,876.87	$4,530.60	$6,742.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,246.26 / $4,837.20 / $5,874.69	Facility		$2,246.26	$4,837.20	$5,874.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,831.59 / $4,848.16 / $6,285.86	Professional		$2,831.59	$4,848.16	$6,285.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $614.57 / $4,866.34	Professional		$164.36	$614.57	$4,866.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,481.13 / $4,307.43 / $4,813.95	Facility		$3,481.13	$4,307.43	$4,813.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,084.02 / $3,084.02 / $3,118.57	Facility		$3,084.02	$3,084.02	$3,118.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,285.65 / $5,177.16 / $6,196.40	Professional		$3,285.65	$5,177.16	$6,196.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,145.30 / $4,486.10 / $6,042.65	Professional		$3,145.30	$4,486.10	$6,042.65
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 $2,851.68 / $4,179.43 / $6,572.48	Professional		$2,851.68	$4,179.43	$6,572.48