Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.67 / $5,010.33 / $20,680.40	Facility		$1,996.67	$5,010.33	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.39 / $1,996.67 / $4,981.07	Professional		$1,513.39	$1,996.67	$4,981.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,197.05 / $20,343.73	Facility		$55.00	$2,197.05	$20,343.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,416.00 / $3,989.31 / $14,233.80	Professional		$2,416.00	$3,989.31	$14,233.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,054.87 / $3,261.55 / $4,760.88	Professional		$2,054.87	$3,261.55	$4,760.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,963.08 / $3,455.35 / $4,196.46	Facility		$1,963.08	$3,455.35	$4,196.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,022.69 / $3,455.35 / $4,265.20	Professional		$2,022.69	$3,455.35	$4,265.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.81 / $1,860.05 / $3,674.51	Professional		$238.81	$1,860.05	$3,674.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,451.96 / $3,042.56 / $3,747.31	Facility		$2,451.96	$3,042.56	$3,747.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,197.05 / $2,197.05 / $2,208.21	Facility		$2,197.05	$2,197.05	$2,208.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,350.69 / $3,683.43 / $4,529.03	Professional		$2,350.69	$3,683.43	$4,529.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,240.69 / $3,176.55 / $4,278.74	Professional		$2,240.69	$3,176.55	$4,278.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,612.00 / $5,793.00	Facility		$1,120.00	$1,612.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,121.67 / $3,479.32 / $4,701.45	Professional		$2,121.67	$3,479.32	$4,701.45