Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,366.14 / $5,115.05 / $20,680.40	Facility		$2,366.14	$5,115.05	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.90 / $2,366.14 / $5,221.07	Professional		$1,894.90	$2,366.14	$5,221.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,586.17 / $34,911.04	Facility		$55.00	$2,586.17	$34,911.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,684.57 / $4,507.53 / $16,822.05	Professional		$2,684.57	$4,507.53	$16,822.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,522.37 / $3,774.26 / $5,609.68	Professional		$2,522.37	$3,774.26	$5,609.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,901.23 / $4,114.10 / $5,151.80	Facility		$1,901.23	$4,114.10	$5,151.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,483.16 / $4,114.10 / $5,464.68	Professional		$2,483.16	$4,114.10	$5,464.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.42 / $536.59 / $4,024.12	Professional		$163.42	$536.59	$4,024.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,880.84 / $3,591.91 / $3,983.82	Facility		$2,880.84	$3,591.91	$3,983.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,586.17 / $2,586.17 / $2,608.10	Facility		$2,586.17	$2,586.17	$2,608.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,743.84 / $4,323.43 / $5,176.82	Professional		$2,743.84	$4,323.43	$5,176.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,637.56 / $3,751.78 / $5,053.55	Professional		$2,637.56	$3,751.78	$5,053.55
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 $2,435.52 / $3,476.56 / $5,485.97	Professional		$2,435.52	$3,476.56	$5,485.97