Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,670.19 / $5,540.50 / $20,680.40	Facility		$2,670.19	$5,540.50	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.27 / $2,670.19 / $5,577.73	Professional		$1,917.27	$2,670.19	$5,577.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,945.86 / $30,243.00	Facility		$55.00	$2,945.86	$30,243.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,132.86 / $5,461.17 / $20,199.38	Professional		$3,132.86	$5,461.17	$20,199.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,722.93 / $4,452.49 / $6,551.80	Professional		$2,722.93	$4,452.49	$6,551.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,604.32 / $4,403.31 / $5,558.59	Facility		$2,604.32	$4,403.31	$5,558.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,679.23 / $4,403.31 / $5,558.59	Professional		$2,679.23	$4,403.31	$5,558.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $738.06 / $4,622.54	Professional		$200.67	$738.06	$4,622.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,125.22 / $4,149.75 / $4,462.20	Facility		$3,125.22	$4,149.75	$4,462.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,945.86 / $2,945.86 / $3,043.62	Facility		$2,945.86	$2,945.86	$3,043.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,132.86 / $5,061.82 / $6,242.42	Professional		$3,132.86	$5,061.82	$6,242.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,004.39 / $4,378.28 / $5,897.43	Professional		$3,004.39	$4,378.28	$5,897.43
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 $2,718.03 / $4,768.60 / $6,374.23	Professional		$2,718.03	$4,768.60	$6,374.23