Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.48 / $5,892.55 / $20,680.40	Facility		$2,833.48	$5,892.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,271.17 / $2,833.48 / $6,035.53	Professional		$2,271.17	$2,833.48	$6,035.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,096.26 / $41,784.00	Facility		$55.00	$3,096.26	$41,784.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,157.77 / $5,237.63 / $23,688.62	Professional		$3,157.77	$5,237.63	$23,688.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,880.09 / $4,518.07 / $6,712.94	Professional		$2,880.09	$4,518.07	$6,712.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,180.54 / $4,843.72 / $5,882.62	Facility		$2,180.54	$4,843.72	$5,882.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,835.41 / $4,899.22 / $6,253.58	Professional		$2,835.41	$4,899.22	$6,253.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.64 / $609.64 / $4,864.66	Professional		$161.64	$609.64	$4,864.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,653.29 / $4,299.71 / $4,647.80	Facility		$3,653.29	$4,299.71	$4,647.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,096.26 / $3,096.26 / $3,121.77	Facility		$3,096.26	$3,096.26	$3,121.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,285.17 / $5,176.39 / $6,196.40	Professional		$3,285.17	$5,176.39	$6,196.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,157.77 / $4,490.70 / $6,048.85	Professional		$3,157.77	$4,490.70	$6,048.85
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 $2,989.37 / $4,551.97 / $6,726.06	Professional		$2,989.37	$4,551.97	$6,726.06