Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.52 / $10,122.46 / $27,982.24	Facility		$2,784.52	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.31 / $2,784.52 / $3,773.46	Professional		$1,121.31	$2,784.52	$3,773.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,852.54 / $30,269.69	Facility		$55.00	$2,852.54	$30,269.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,068.60 / $5,250.06 / $20,743.88	Professional		$3,068.60	$5,250.06	$20,743.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.64 / $5,380.53 / $7,194.32	Professional		$3,825.64	$5,380.53	$7,194.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,002.29 / $3,783.79 / $4,981.55	Facility		$2,002.29	$3,783.79	$4,981.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,093.92 / $3,959.95 / $5,300.61	Professional		$2,093.92	$3,959.95	$5,300.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $1,233.68 / $1,762.40	Professional		$176.24	$1,233.68	$1,762.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,201.64 / $1,520.30 / $1,688.25	Facility		$1,201.64	$1,520.30	$1,688.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,852.54 / $2,852.54 / $3,248.36	Facility		$2,852.54	$2,852.54	$3,248.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,248.36 / $5,082.22 / $6,447.67	Professional		$3,248.36	$5,082.22	$6,447.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,068.60 / $4,623.62 / $6,294.13	Professional		$3,068.60	$4,623.62	$6,294.13
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 $2,095.94 / $3,451.84 / $5,011.84	Professional		$2,095.94	$3,451.84	$5,011.84