Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,934.58 / $4,892.45 / $6,588.76	Facility		$2,934.58	$4,892.45	$6,588.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.00 / $2,934.58 / $5,958.63	Professional		$2,052.00	$2,934.58	$5,958.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,593.65 / $25,101.12	Facility		$55.00	$3,593.65	$25,101.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,749.23 / $6,649.03 / $24,396.98	Professional		$3,749.23	$6,649.03	$24,396.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,785.78 / $5,423.14 / $8,142.92	Professional		$2,785.78	$5,423.14	$8,142.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,829.05 / $4,649.53 / $6,339.06	Facility		$2,829.05	$4,649.53	$6,339.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,829.05 / $4,649.53 / $6,354.91	Professional		$2,829.05	$4,649.53	$6,354.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $693.83 / $4,382.82 / $7,223.29	Professional		$693.83	$4,382.82	$7,223.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,115.46 / $5,150.22 / $5,496.68	Facility		$4,115.46	$5,150.22	$5,496.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,593.65 / $3,593.65 / $3,749.23	Facility		$3,593.65	$3,593.65	$3,749.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,859.16 / $6,157.54 / $7,689.61	Professional		$3,859.16	$6,157.54	$7,689.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,665.05 / $5,336.54 / $7,264.64	Professional		$3,665.05	$5,336.54	$7,264.64
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 $2,903.04 / $4,685.06 / $7,760.68	Professional		$2,903.04	$4,685.06	$7,760.68