Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,940.82 / $5,506.68 / $20,680.40	Facility		$2,940.82	$5,506.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.72 / $2,940.82 / $5,581.82	Professional		$1,397.72	$2,940.82	$5,581.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,130.68 / $42,530.72	Facility		$55.00	$3,130.68	$42,530.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,192.88 / $5,474.56 / $20,428.28	Professional		$3,192.88	$5,474.56	$20,428.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,760.15 / $4,608.03 / $6,873.28	Professional		$2,760.15	$4,608.03	$6,873.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,175.58 / $3,859.90 / $5,850.04	Facility		$2,175.58	$3,859.90	$5,850.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,819.71 / $4,070.44 / $6,117.02	Professional		$2,819.71	$4,070.44	$6,117.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $644.32 / $4,943.08	Professional		$179.18	$644.32	$4,943.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,721.54 / $4,284.80 / $4,643.10	Facility		$2,721.54	$4,284.80	$4,643.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,130.68 / $3,130.68 / $3,167.01	Facility		$3,130.68	$3,130.68	$3,167.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,259.87 / $5,250.97 / $6,286.20	Professional		$3,259.87	$5,250.97	$6,286.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,192.88 / $4,555.78 / $6,136.52	Professional		$3,192.88	$4,555.78	$6,136.52
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 $2,552.58 / $3,823.41 / $6,662.93	Professional		$2,552.58	$3,823.41	$6,662.93