Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,834.74 / $6,104.78 / $20,680.40	Facility		$2,834.74	$6,104.78	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,832.94 / $2,834.74 / $6,184.11	Professional		$1,832.94	$2,834.74	$6,184.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,024.23 / $66,744.08	Facility		$55.00	$3,024.23	$66,744.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,084.31 / $5,182.70 / $23,267.00	Professional		$3,084.31	$5,182.70	$23,267.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,815.77 / $4,445.35 / $6,620.99	Professional		$2,815.77	$4,445.35	$6,620.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,128.77 / $4,734.97 / $5,750.54	Facility		$2,128.77	$4,734.97	$5,750.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,771.75 / $4,832.93 / $6,136.13	Professional		$2,771.75	$4,832.93	$6,136.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $606.01 / $4,783.92	Professional		$164.36	$606.01	$4,783.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,398.77 / $4,235.39 / $4,700.05	Facility		$3,398.77	$4,235.39	$4,700.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,024.23 / $3,024.23 / $3,060.07	Facility		$3,024.23	$3,024.23	$3,060.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,222.87 / $5,078.25 / $6,078.01	Professional		$3,222.87	$5,078.25	$6,078.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,084.31 / $4,401.95 / $5,929.31	Professional		$3,084.31	$4,401.95	$5,929.31
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 $2,772.00 / $3,734.08 / $6,443.75	Professional		$2,772.00	$3,734.08	$6,443.75