Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,962.44 / $6,468.63 / $20,680.40	Facility		$2,962.44	$6,468.63	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,369.67 / $2,962.44 / $6,600.52	Professional		$2,369.67	$2,962.44	$6,600.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,238.95 / $43,694.08	Facility		$55.00	$3,238.95	$43,694.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,303.30 / $5,477.84 / $24,892.75	Professional		$3,303.30	$5,477.84	$24,892.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,015.96 / $4,725.25 / $7,019.04	Professional		$3,015.96	$4,725.25	$7,019.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,394.75 / $5,072.10 / $6,159.97	Facility		$2,394.75	$5,072.10	$6,159.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,969.10 / $5,121.22 / $6,547.70	Professional		$2,969.10	$5,121.22	$6,547.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $624.10 / $4,995.70	Professional		$162.05	$624.10	$4,995.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,845.97 / $4,495.10 / $5,032.37	Facility		$3,845.97	$4,495.10	$5,032.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,238.95 / $3,238.95 / $3,264.81	Facility		$3,238.95	$3,238.95	$3,264.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,435.83 / $5,413.80 / $6,480.32	Professional		$3,435.83	$5,413.80	$6,480.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,303.30 / $4,696.47 / $6,326.01	Professional		$3,303.30	$4,696.47	$6,326.01
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 $3,127.97 / $4,763.03 / $6,869.52	Professional		$3,127.97	$4,763.03	$6,869.52