Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,406.44 / $4,910.38 / $20,680.40	Facility		$2,406.44	$4,910.38	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,685.78 / $2,406.44 / $5,014.45	Professional		$1,685.78	$2,406.44	$5,014.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,588.90 / $34,822.87	Facility		$55.00	$2,588.90	$34,822.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,645.48 / $4,471.77 / $16,629.38	Professional		$2,645.48	$4,471.77	$16,629.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,428.91 / $3,853.81 / $5,601.05	Professional		$2,428.91	$3,853.81	$5,601.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,885.73 / $3,706.04 / $5,292.32	Facility		$1,885.73	$3,706.04	$5,292.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,391.06 / $3,929.71 / $5,292.32	Professional		$2,391.06	$3,929.71	$5,292.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $477.82 / $2,918.90 / $4,700.01	Professional		$477.82	$2,918.90	$4,700.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,765.53 / $3,595.20 / $3,873.28	Facility		$2,765.53	$3,595.20	$3,873.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,588.90 / $2,588.90 / $2,592.10	Facility		$2,588.90	$2,588.90	$2,592.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,741.42 / $4,319.63 / $5,170.04	Professional		$2,741.42	$4,319.63	$5,170.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,640.33 / $3,728.77 / $5,022.56	Professional		$2,640.33	$3,728.77	$5,022.56
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 $2,495.67 / $3,763.10 / $5,615.27	Professional		$2,495.67	$3,763.10	$5,615.27