Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,310.92 / $4,805.26 / $20,680.40	Facility		$2,310.92	$4,805.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.39 / $2,310.92 / $4,919.63	Professional		$1,642.39	$2,310.92	$4,919.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,523.66 / $34,074.87	Facility		$55.00	$2,523.66	$34,074.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,573.80 / $4,389.42 / $16,417.34	Professional		$2,573.80	$4,389.42	$16,417.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,349.73 / $3,683.50 / $5,475.52	Professional		$2,349.73	$3,683.50	$5,475.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,764.52 / $3,951.97 / $4,806.28	Facility		$1,764.52	$3,951.97	$4,806.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,313.40 / $3,997.22 / $4,837.22	Professional		$2,313.40	$3,997.22	$4,837.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.76 / $2,154.14 / $4,092.54	Professional		$233.76	$2,154.14	$4,092.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,733.22 / $3,506.23 / $3,763.39	Facility		$2,733.22	$3,506.23	$3,763.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,523.66 / $2,523.66 / $2,545.48	Facility		$2,523.66	$2,523.66	$2,545.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,620.13 / $4,219.18 / $5,052.55	Professional		$2,620.13	$4,219.18	$5,052.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,573.80 / $3,661.72 / $4,932.22	Professional		$2,573.80	$3,661.72	$4,932.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $2,446.00 / $5,793.00	Facility		$1,323.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,428.88 / $3,688.73 / $5,353.71	Professional		$2,428.88	$3,688.73	$5,353.71