Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,940.94 / $6,359.17 / $20,680.40	Facility		$2,940.94	$6,359.17	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,008.78 / $2,940.94 / $6,444.75	Professional		$2,008.78	$2,940.94	$6,444.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,141.56 / $69,314.44	Facility		$55.00	$3,141.56	$69,314.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,271.63 / $5,499.95 / $32,890.94	Professional		$3,271.63	$5,499.95	$32,890.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,930.69 / $4,615.64 / $6,873.85	Professional		$2,930.69	$4,615.64	$6,873.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,285.94 / $4,927.82 / $5,984.75	Facility		$2,285.94	$4,927.82	$5,984.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.64 / $5,029.78 / $6,405.12	Professional		$2,884.64	$5,029.78	$6,405.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $623.11 / $4,970.94	Professional		$164.36	$623.11	$4,970.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,485.34 / $4,398.88 / $4,899.71	Facility		$3,485.34	$4,398.88	$4,899.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,141.56 / $3,141.56 / $3,178.44	Facility		$3,141.56	$3,141.56	$3,178.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,347.95 / $5,275.32 / $6,313.88	Professional		$3,347.95	$5,275.32	$6,313.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,203.97 / $4,572.22 / $6,158.65	Professional		$3,203.97	$4,572.22	$6,158.65
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 $2,951.09 / $4,255.07 / $6,693.82	Professional		$2,951.09	$4,255.07	$6,693.82