Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.28 / $4,668.75 / $20,680.40	Facility		$2,280.28	$4,668.75	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.61 / $2,280.28 / $4,668.75	Professional		$1,608.61	$2,280.28	$4,668.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,346.54 / $24,511.56	Facility		$55.00	$2,346.54	$24,511.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.73 / $4,346.71 / $15,049.88	Professional		$2,510.73	$4,346.71	$15,049.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.17 / $3,636.97 / $5,295.97	Professional		$2,168.17	$3,636.97	$5,295.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,133.44 / $3,644.57 / $4,426.27	Facility		$2,133.44	$3,644.57	$4,426.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,133.44 / $3,644.57 / $4,469.29	Professional		$2,133.44	$3,644.57	$4,469.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $667.59 / $3,802.31	Professional		$113.35	$667.59	$3,802.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,527.91 / $3,366.08 / $3,510.80	Facility		$2,527.91	$3,366.08	$3,510.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,346.54 / $2,346.54 / $2,394.67	Facility		$2,346.54	$2,346.54	$2,394.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,528.94 / $3,994.45 / $4,911.45	Professional		$2,528.94	$3,994.45	$4,911.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,393.16 / $3,444.78 / $4,640.02	Professional		$2,393.16	$3,444.78	$4,640.02
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 $2,215.21 / $3,549.34 / $5,056.32	Professional		$2,215.21	$3,549.34	$5,056.32