Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,729.23 / $5,426.93 / $20,680.40	Facility		$2,729.23	$5,426.93	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.22 / $2,729.23 / $5,496.29	Professional		$1,320.22	$2,729.23	$5,496.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,904.64 / $39,470.56	Facility		$55.00	$2,904.64	$39,470.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,962.34 / $5,080.29 / $18,957.15	Professional		$2,962.34	$5,080.29	$18,957.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,560.96 / $4,275.97 / $6,379.39	Professional		$2,560.96	$4,275.97	$6,379.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,019.03 / $3,582.15 / $5,428.28	Facility		$2,019.03	$3,582.15	$5,428.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,616.42 / $3,777.54 / $5,690.23	Professional		$2,616.42	$3,777.54	$5,690.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $584.84 / $4,596.52	Professional		$163.78	$584.84	$4,596.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,590.25 / $4,086.26 / $4,308.77	Facility		$2,590.25	$4,086.26	$4,308.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,904.64 / $2,904.64 / $2,938.97	Facility		$2,904.64	$2,904.64	$2,938.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,025.14 / $4,872.80 / $5,833.56	Professional		$3,025.14	$4,872.80	$5,833.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,962.34 / $4,227.74 / $5,694.65	Professional		$2,962.34	$4,227.74	$5,694.65
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 $2,385.23 / $4,063.78 / $6,214.21	Professional		$2,385.23	$4,063.78	$6,214.21