Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,595.46 / $5,345.38 / $20,680.40	Facility		$2,595.46	$5,345.38	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.00 / $2,595.46 / $5,379.53	Professional		$1,862.00	$2,595.46	$5,379.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,860.24 / $29,374.80	Facility		$55.00	$2,860.24	$29,374.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,042.55 / $5,322.79 / $19,614.53	Professional		$3,042.55	$5,322.79	$19,614.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,651.66 / $4,325.64 / $6,364.23	Professional		$2,651.66	$4,325.64	$6,364.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,538.71 / $4,287.53 / $5,412.43	Facility		$2,538.71	$4,287.53	$5,412.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,608.78 / $4,287.53 / $5,412.43	Professional		$2,608.78	$4,287.53	$5,412.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $738.72 / $4,592.55	Professional		$200.71	$738.72	$4,592.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $4,030.72 / $4,333.56	Facility		$3,006.81	$4,030.72	$4,333.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,860.24 / $2,860.24 / $2,955.88	Facility		$2,860.24	$2,860.24	$2,955.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,042.55 / $4,917.39 / $6,062.46	Professional		$3,042.55	$4,917.39	$6,062.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,917.07 / $4,252.07 / $5,727.41	Professional		$2,917.07	$4,252.07	$5,727.41
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 $2,659.58 / $4,196.04 / $6,191.77	Professional		$2,659.58	$4,196.04	$6,191.77