Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,335.12 / $4,542.82 / $20,680.40	Facility		$2,335.12	$4,542.82	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,592.95 / $2,335.12 / $4,542.82	Professional		$1,592.95	$2,335.12	$4,542.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,362.85 / $38,227.24	Facility		$55.00	$2,362.85	$38,227.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.73 / $4,317.97 / $15,421.65	Professional		$2,520.73	$4,317.97	$15,421.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.17 / $3,552.79 / $5,195.07	Professional		$2,191.17	$3,552.79	$5,195.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,137.73 / $3,684.45 / $4,474.70	Facility		$2,137.73	$3,684.45	$4,474.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,156.80 / $3,684.45 / $4,474.70	Professional		$2,156.80	$3,684.45	$4,474.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $589.56 / $3,669.82	Professional		$168.26	$589.56	$3,669.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,584.36 / $3,325.80 / $3,531.92	Facility		$2,584.36	$3,325.80	$3,531.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,362.85 / $2,362.85 / $2,396.05	Facility		$2,362.85	$2,362.85	$2,396.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,520.73 / $3,996.74 / $4,914.26	Professional		$2,520.73	$3,996.74	$4,914.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,409.79 / $3,446.75 / $4,642.68	Professional		$2,409.79	$3,446.75	$4,642.68
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 $2,260.28 / $3,540.41 / $5,039.91	Professional		$2,260.28	$3,540.41	$5,039.91