Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,295.17 / $5,492.34 / $20,680.40	Facility		$2,295.17	$5,492.34	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,842.56 / $2,295.17 / $5,560.80	Professional		$1,842.56	$2,295.17	$5,560.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,507.36 / $33,860.48	Facility		$55.00	$2,507.36	$33,860.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,603.66 / $4,369.50 / $16,314.23	Professional		$2,603.66	$4,369.50	$16,314.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.17 / $3,699.67 / $5,441.12	Professional		$2,333.17	$3,699.67	$5,441.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,974.08 / $3,923.70 / $4,765.26	Facility		$1,974.08	$3,923.70	$4,765.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,296.85 / $3,970.53 / $5,068.14	Professional		$2,296.85	$3,970.53	$5,068.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,127.45 / $4,105.87	Professional		$232.90	$2,127.45	$4,105.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,037.92 / $3,602.97 / $4,235.07	Facility		$3,037.92	$3,602.97	$4,235.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,507.36 / $2,507.36 / $2,529.50	Facility		$2,507.36	$2,507.36	$2,529.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,659.81 / $4,191.04 / $5,020.80	Professional		$2,659.81	$4,191.04	$5,020.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,557.17 / $3,638.71 / $4,901.24	Professional		$2,557.17	$3,638.71	$4,901.24
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 $2,362.85 / $3,406.90 / $5,317.99	Professional		$2,362.85	$3,406.90	$5,317.99