Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,565.03 / $5,263.33 / $20,680.40	Facility		$2,565.03	$5,263.33	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,840.46 / $2,565.03 / $5,290.44	Professional		$1,840.46	$2,565.03	$5,290.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,821.74 / $29,038.44	Facility		$55.00	$2,821.74	$29,038.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,004.92 / $5,020.80 / $19,353.15	Professional		$3,004.92	$5,020.80	$19,353.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,601.94 / $4,275.09 / $6,295.13	Professional		$2,601.94	$4,275.09	$6,295.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,495.67 / $4,207.32 / $5,311.17	Facility		$2,495.67	$4,207.32	$5,311.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,559.98 / $4,207.32 / $5,311.17	Professional		$2,559.98	$4,207.32	$5,311.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $736.08 / $4,525.76	Professional		$200.71	$736.08	$4,525.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,954.48 / $3,989.16 / $4,279.96	Facility		$2,954.48	$3,989.16	$4,279.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,821.74 / $2,821.74 / $2,919.32	Facility		$2,821.74	$2,821.74	$2,919.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,004.92 / $4,844.39 / $5,987.47	Professional		$3,004.92	$4,844.39	$5,987.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,877.80 / $4,199.47 / $5,656.57	Professional		$2,877.80	$4,199.47	$5,656.57
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 $2,596.34 / $4,462.58 / $6,110.65	Professional		$2,596.34	$4,462.58	$6,110.65