Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,669.07 / $4,705.35 / $20,680.40	Facility		$2,669.07	$4,705.35	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.46 / $2,669.07 / $4,752.64	Professional		$1,604.46	$2,669.07	$4,752.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,820.38 / $28,901.40	Facility		$55.00	$2,820.38	$28,901.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,913.40 / $5,218.21 / $19,034.25	Professional		$2,913.40	$5,218.21	$19,034.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,655.59 / $4,188.45 / $6,289.02	Professional		$2,655.59	$4,188.45	$6,289.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,052.82 / $3,852.42 / $5,269.33	Facility		$2,052.82	$3,852.42	$5,269.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,274.31 / $3,895.82 / $5,479.70	Professional		$2,274.31	$3,895.82	$5,479.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.51 / $707.46 / $4,478.77	Professional		$219.51	$707.46	$4,478.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,443.41 / $3,462.64 / $4,235.07	Facility		$2,443.41	$3,462.64	$4,235.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,820.38 / $2,820.38 / $2,888.70	Facility		$2,820.38	$2,820.38	$2,888.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,973.40 / $4,818.50 / $5,924.67	Professional		$2,973.40	$4,818.50	$5,924.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,876.41 / $4,155.42 / $5,597.25	Professional		$2,876.41	$4,155.42	$5,597.25
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 $2,319.84 / $3,759.06 / $6,070.11	Professional		$2,319.84	$3,759.06	$6,070.11