Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $5,576.01 / $20,680.40	Facility		$2,802.84	$5,576.01	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.94 / $2,802.84 / $5,647.10	Professional		$1,154.94	$2,802.84	$5,647.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,982.55 / $40,539.83	Facility		$55.00	$2,982.55	$40,539.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,041.81 / $5,217.53 / $19,469.03	Professional		$3,041.81	$5,217.53	$19,469.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,629.69 / $4,390.87 / $6,552.20	Professional		$2,629.69	$4,390.87	$6,552.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,073.28 / $3,678.40 / $5,573.56	Facility		$2,073.28	$3,678.40	$5,573.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,685.52 / $3,879.04 / $5,832.19	Professional		$2,685.52	$3,879.04	$5,832.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $596.70 / $4,727.73	Professional		$164.25	$596.70	$4,727.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,302.15 / $4,195.97 / $4,425.35	Facility		$2,302.15	$4,195.97	$4,425.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,982.55 / $2,982.55 / $3,018.49	Facility		$2,982.55	$2,982.55	$3,018.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,106.99 / $5,004.43 / $5,991.40	Professional		$3,106.99	$5,004.43	$5,991.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,041.81 / $4,342.13 / $5,848.73	Professional		$3,041.81	$4,342.13	$5,848.73
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 $2,514.71 / $4,303.33 / $6,672.37	Professional		$2,514.71	$4,303.33	$6,672.37