Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,690.73 / $5,140.67 / $20,680.40	Facility		$2,690.73	$5,140.67	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.83 / $2,690.73 / $5,140.67	Professional		$1,552.83	$2,690.73	$5,140.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,583.46 / $15,671.95	Facility		$55.00	$2,583.46	$15,671.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,749.13 / $4,754.75 / $16,509.00	Professional		$2,749.13	$4,754.75	$16,509.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,392.65 / $4,011.76 / $5,864.75	Professional		$2,392.65	$4,011.76	$5,864.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,353.71 / $3,868.33 / $4,883.25	Facility		$2,353.71	$3,868.33	$4,883.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,353.71 / $3,868.33 / $4,949.27	Professional		$2,353.71	$3,868.33	$4,949.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $758.87 / $4,134.84	Professional		$219.60	$758.87	$4,134.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,724.83 / $3,689.02 / $3,843.12	Facility		$2,724.83	$3,689.02	$3,843.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,583.46 / $2,583.46 / $2,621.35	Facility		$2,583.46	$2,583.46	$2,621.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,775.71 / $4,373.64 / $5,376.35	Professional		$2,775.71	$4,373.64	$5,376.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,634.79 / $3,770.84 / $5,079.22	Professional		$2,634.79	$3,770.84	$5,079.22
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 $2,321.27 / $4,151.78 / $5,530.77	Professional		$2,321.27	$4,151.78	$5,530.77