Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.38 / $4,628.45 / $20,680.40	Facility		$2,262.38	$4,628.45	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.62 / $2,262.38 / $4,628.45	Professional		$1,486.62	$2,262.38	$4,628.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,371.00 / $5,897.00 / $12,340.86	Facility		$2,371.00	$5,897.00	$12,340.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,492.65 / $4,163.78 / $23,475.40	Professional		$2,492.65	$4,163.78	$23,475.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,216.26 / $3,657.88 / $5,338.53	Professional		$2,216.26	$3,657.88	$5,338.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,180.56 / $3,592.15 / $4,524.00	Facility		$2,180.56	$3,592.15	$4,524.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,180.56 / $3,612.01 / $4,549.59	Professional		$2,180.56	$3,612.01	$4,549.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $822.57 / $3,695.98	Professional		$180.13	$822.57	$3,695.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,520.56 / $3,445.30 / $3,550.33	Facility		$2,520.56	$3,445.30	$3,550.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,371.00 / $2,371.00 / $2,421.64	Facility		$2,371.00	$2,371.00	$2,421.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,552.61 / $4,039.43 / $4,966.75	Professional		$2,552.61	$4,039.43	$4,966.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,418.11 / $3,483.56 / $4,692.26	Professional		$2,418.11	$3,483.56	$4,692.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,240.15 / $3,549.37 / $5,103.64	Professional		$2,240.15	$3,549.37	$5,103.64