Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,657.78 / $5,462.15 / $20,680.40	Facility		$2,657.78	$5,462.15	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,906.35 / $2,657.78 / $5,499.57	Professional		$1,906.35	$2,657.78	$5,499.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,929.55 / $30,080.28	Facility		$55.00	$2,929.55	$30,080.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,116.40 / $5,308.06 / $20,096.55	Professional		$3,116.40	$5,308.06	$20,096.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,717.55 / $4,428.84 / $6,516.25	Professional		$2,717.55	$4,428.84	$6,516.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,600.21 / $4,394.25 / $5,547.15	Facility		$2,600.21	$4,394.25	$5,547.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,673.72 / $4,396.17 / $5,547.15	Professional		$2,673.72	$4,396.17	$5,547.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $738.72 / $4,608.85	Professional		$200.71	$738.72	$4,608.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,153.15 / $4,125.68 / $4,438.75	Facility		$3,153.15	$4,125.68	$4,438.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,929.55 / $2,929.55 / $3,027.63	Facility		$2,929.55	$2,929.55	$3,027.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,116.40 / $5,039.06 / $6,209.61	Professional		$3,116.40	$5,039.06	$6,209.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,987.75 / $4,355.28 / $5,866.44	Professional		$2,987.75	$4,355.28	$5,866.44
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 $2,707.71 / $4,297.45 / $6,341.40	Professional		$2,707.71	$4,297.45	$6,341.40