Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,661.69 / $5,509.91 / $20,680.40	Facility		$2,661.69	$5,509.91	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,913.28 / $2,661.69 / $5,543.71	Professional		$1,913.28	$2,661.69	$5,543.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,933.63 / $40,225.12	Facility		$55.00	$2,933.63	$40,225.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,144.13 / $5,442.15 / $20,146.34	Professional		$3,144.13	$5,442.15	$20,146.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.73 / $4,437.76 / $6,536.34	Professional		$2,721.73	$4,437.76	$6,536.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,605.55 / $4,401.22 / $5,555.95	Facility		$2,605.55	$4,401.22	$5,555.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,677.96 / $4,401.22 / $5,555.95	Professional		$2,677.96	$4,401.22	$5,555.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $738.72 / $4,648.52	Professional		$202.90	$738.72	$4,648.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,123.26 / $4,141.68 / $4,450.81	Facility		$3,123.26	$4,141.68	$4,450.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,933.63 / $2,933.63 / $3,035.85	Facility		$2,933.63	$2,933.63	$3,035.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,124.87 / $5,043.77 / $6,226.48	Professional		$3,124.87	$5,043.77	$6,226.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,991.91 / $4,367.10 / $5,882.38	Professional		$2,991.91	$4,367.10	$5,882.38
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 $2,773.77 / $4,638.85 / $6,352.03	Professional		$2,773.77	$4,638.85	$6,352.03