Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,530.26 / $6,069.19 / $20,680.40	Facility		$2,530.26	$6,069.19	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,023.85 / $2,530.26 / $6,128.87	Professional		$2,023.85	$2,530.26	$6,128.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,763.30 / $37,312.00	Facility		$55.00	$2,763.30	$37,312.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.20 / $4,673.29 / $21,123.51	Professional		$2,818.20	$4,673.29	$21,123.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,573.33 / $4,075.66 / $5,995.08	Professional		$2,573.33	$4,075.66	$5,995.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,948.35 / $4,327.52 / $5,255.70	Facility		$1,948.35	$4,327.52	$5,255.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,533.23 / $4,373.06 / $5,589.13	Professional		$2,533.23	$4,373.06	$5,589.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.64 / $558.19 / $4,308.81	Professional		$161.64	$558.19	$4,308.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,347.47 / $3,970.05 / $4,594.17	Facility		$3,347.47	$3,970.05	$4,594.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,763.30 / $2,763.30 / $2,787.70	Facility		$2,763.30	$2,763.30	$2,787.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,931.20 / $4,618.66 / $5,533.31	Professional		$2,931.20	$4,618.66	$5,533.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.20 / $4,010.14 / $5,401.55	Professional		$2,818.20	$4,010.14	$5,401.55
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 $2,667.28 / $3,758.45 / $5,860.58	Professional		$2,667.28	$3,758.45	$5,860.58