Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,694.07 / $5,366.34 / $20,680.40	Facility		$2,694.07	$5,366.34	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.42 / $2,694.07 / $5,434.09	Professional		$1,292.42	$2,694.07	$5,434.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,865.68 / $38,968.32	Facility		$55.00	$2,865.68	$38,968.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,922.61 / $5,013.66 / $18,715.13	Professional		$2,922.61	$5,013.66	$18,715.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,530.67 / $4,218.70 / $6,298.33	Professional		$2,530.67	$4,218.70	$6,298.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,995.16 / $3,539.80 / $5,364.00	Facility		$1,995.16	$3,539.80	$5,364.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,585.44 / $3,732.88 / $5,611.97	Professional		$2,585.44	$3,732.88	$5,611.97
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 $2,548.60 / $4,033.95 / $4,253.83	Facility		$2,548.60	$4,033.95	$4,253.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,865.68 / $2,865.68 / $2,901.49	Facility		$2,865.68	$2,865.68	$2,901.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,986.57 / $4,808.89 / $5,759.18	Professional		$2,986.57	$4,808.89	$5,759.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,922.61 / $4,173.83 / $5,622.04	Professional		$2,922.61	$4,173.83	$5,622.04
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 $2,360.02 / $3,504.98 / $6,101.96	Professional		$2,360.02	$3,504.98	$6,101.96