Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,362.54 / $4,613.63 / $20,680.40	Facility		$2,362.54	$4,613.63	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.44 / $2,362.54 / $4,613.63	Professional		$1,620.44	$2,362.54	$4,613.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,387.31 / $32,548.96	Facility		$55.00	$2,387.31	$32,548.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,493.12 / $4,199.45 / $15,587.03	Professional		$2,493.12	$4,199.45	$15,587.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,216.81 / $3,593.17 / $5,254.25	Professional		$2,216.81	$3,593.17	$5,254.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,162.58 / $3,727.22 / $4,526.64	Facility		$2,162.58	$3,727.22	$4,526.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,181.84 / $3,727.22 / $4,526.64	Professional		$2,181.84	$3,727.22	$4,526.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $592.39 / $3,738.95	Professional		$169.72	$592.39	$3,738.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,672.99 / $3,363.96 / $3,568.64	Facility		$2,672.99	$3,363.96	$3,568.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,387.31 / $2,387.31 / $2,422.10	Facility		$2,387.31	$2,387.31	$2,422.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,548.26 / $4,040.19 / $4,967.68	Professional		$2,548.26	$4,040.19	$4,967.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,434.73 / $3,484.22 / $4,693.14	Professional		$2,434.73	$3,484.22	$4,693.14
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 $2,284.04 / $3,720.82 / $5,214.35	Professional		$2,284.04	$3,720.82	$5,214.35