Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,735.29 / $5,694.18 / $20,680.40	Facility		$2,735.29	$5,694.18	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,933.71 / $2,735.29 / $5,732.86	Professional		$1,933.71	$2,735.29	$5,732.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,016.07 / $30,949.68	Facility		$55.00	$3,016.07	$30,949.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,206.72 / $5,465.15 / $20,679.90	Professional		$3,206.72	$5,465.15	$20,679.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,798.43 / $4,556.92 / $6,704.02	Professional		$2,798.43	$4,556.92	$6,704.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,676.07 / $4,525.38 / $5,712.68	Facility		$2,676.07	$4,525.38	$5,712.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,753.50 / $4,525.38 / $5,712.68	Professional		$2,753.50	$4,525.38	$5,712.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.68 / $769.16 / $4,802.97	Professional		$226.68	$769.16	$4,802.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,253.11 / $4,244.72 / $4,567.39	Facility		$3,253.11	$4,244.72	$4,567.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,016.07 / $3,016.07 / $3,115.37	Facility		$3,016.07	$3,016.07	$3,115.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,206.72 / $5,188.18 / $6,389.57	Professional		$3,206.72	$5,188.18	$6,389.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,076.00 / $4,481.49 / $6,036.45	Professional		$3,076.00	$4,481.49	$6,036.45
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 $2,735.72 / $4,765.79 / $6,525.83	Professional		$2,735.72	$4,765.79	$6,525.83