Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,686.44 / $5,218.28 / $20,680.40	Facility		$2,686.44	$5,218.28	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,852.03 / $2,686.44 / $5,293.90	Professional		$1,852.03	$2,686.44	$5,293.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,718.91 / $37,048.16	Facility		$55.00	$2,718.91	$37,048.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,870.29 / $4,782.80 / $17,754.83	Professional		$2,870.29	$4,782.80	$17,754.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,525.32 / $4,087.18 / $5,978.41	Professional		$2,525.32	$4,087.18	$5,978.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,459.94 / $4,246.32 / $5,157.08	Facility		$2,459.94	$4,246.32	$5,157.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,485.71 / $4,246.32 / $5,157.08	Professional		$2,485.71	$4,246.32	$5,157.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.11 / $701.87 / $4,231.35	Professional		$221.11	$701.87	$4,231.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,073.77 / $3,825.14 / $4,064.36	Facility		$3,073.77	$3,825.14	$4,064.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,718.91 / $2,718.91 / $2,758.00	Facility		$2,718.91	$2,718.91	$2,758.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,900.30 / $4,600.47 / $5,656.61	Professional		$2,900.30	$4,600.47	$5,656.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,772.92 / $3,967.41 / $5,343.99	Professional		$2,772.92	$3,967.41	$5,343.99
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 $2,603.04 / $4,234.85 / $5,856.83	Professional		$2,603.04	$4,234.85	$5,856.83