Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,658.39 / $5,577.88 / $20,680.40	Facility		$2,658.39	$5,577.88	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,113.71 / $2,658.39 / $5,711.00	Professional		$2,113.71	$2,658.39	$5,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,906.00 / $39,220.80	Facility		$55.00	$2,906.00	$39,220.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,963.73 / $4,914.27 / $22,252.16	Professional		$2,963.73	$4,914.27	$22,252.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,706.24 / $4,240.46 / $6,301.31	Professional		$2,706.24	$4,240.46	$6,301.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,048.79 / $4,551.55 / $5,527.77	Facility		$2,048.79	$4,551.55	$5,527.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,664.38 / $4,597.16 / $5,876.97	Professional		$2,664.38	$4,597.16	$5,876.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $577.99 / $4,530.01	Professional		$162.16	$577.99	$4,530.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,456.95 / $4,034.96 / $4,383.14	Facility		$3,456.95	$4,034.96	$4,383.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $2,906.00 / $2,930.28	Facility		$2,906.00	$2,906.00	$2,930.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,082.35 / $4,856.82 / $5,816.33	Professional		$3,082.35	$4,856.82	$5,816.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,963.73 / $4,215.25 / $5,677.83	Professional		$2,963.73	$4,215.25	$5,677.83
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 $2,805.44 / $3,825.60 / $6,162.79	Professional		$2,805.44	$3,825.60	$6,162.79