Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,617.48 / $4,937.37 / $20,680.40	Facility		$2,617.48	$4,937.37	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.38 / $2,617.48 / $5,082.24	Professional		$1,659.38	$2,617.48	$5,082.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,748.80 / $26,061.64	Facility		$55.00	$2,748.80	$26,061.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,840.27 / $5,058.85 / $20,776.70	Professional		$2,840.27	$5,058.85	$20,776.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.51 / $4,183.71 / $6,154.50	Professional		$2,476.51	$4,183.71	$6,154.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,415.71 / $4,005.04 / $5,055.83	Facility		$2,415.71	$4,005.04	$5,055.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,436.90 / $4,005.04 / $5,141.57	Professional		$2,436.90	$4,005.04	$5,141.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $585.08 / $4,576.18	Professional		$160.08	$585.08	$4,576.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,692.37 / $3,789.18 / $4,122.51	Facility		$2,692.37	$3,789.18	$4,122.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,748.80 / $2,748.80 / $2,811.92	Facility		$2,748.80	$2,748.80	$2,811.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,894.37 / $4,690.43 / $5,767.21	Professional		$2,894.37	$4,690.43	$5,767.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,803.42 / $4,035.50 / $5,448.48	Professional		$2,803.42	$4,035.50	$5,448.48
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,482.16 / $3,991.62 / $5,884.71	Professional		$2,482.16	$3,991.62	$5,884.71