Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,652.71 / $5,330.27 / $20,680.40	Facility		$2,652.71	$5,330.27	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,652.71 / $5,362.87	Professional		$1,905.46	$2,652.71	$5,362.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,925.93 / $30,048.00	Facility		$55.00	$2,925.93	$30,048.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,112.64 / $5,427.26 / $20,068.95	Professional		$3,112.64	$5,427.26	$20,068.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,704.32 / $4,424.91 / $6,509.71	Professional		$2,704.32	$4,424.91	$6,509.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,586.69 / $4,372.62 / $5,519.85	Facility		$2,586.69	$4,372.62	$5,519.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,660.56 / $4,372.62 / $5,519.85	Professional		$2,660.56	$4,372.62	$5,519.85
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 $2,989.20 / $4,111.12 / $4,433.39	Facility		$2,989.20	$4,111.12	$4,433.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.93 / $2,925.93 / $3,023.97	Facility		$2,925.93	$2,925.93	$3,023.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,112.64 / $5,028.07 / $6,202.11	Professional		$3,112.64	$5,028.07	$6,202.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,984.06 / $4,350.01 / $5,859.35	Professional		$2,984.06	$4,350.01	$5,859.35
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 $2,637.18 / $4,459.43 / $6,334.65	Professional		$2,637.18	$4,459.43	$6,334.65