Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.01 / $4,535.45 / $20,680.40	Facility		$2,327.01	$4,535.45	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.14 / $2,327.01 / $4,535.45	Professional		$1,525.14	$2,327.01	$4,535.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,355.60 / $32,072.32	Facility		$55.00	$2,355.60	$32,072.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,496.17 / $4,121.85 / $15,370.28	Professional		$2,496.17	$4,121.85	$15,370.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,193.36 / $3,541.64 / $5,173.97	Professional		$2,193.36	$3,541.64	$5,173.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,131.50 / $3,688.07 / $4,666.21	Facility		$2,131.50	$3,688.07	$4,666.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,158.92 / $3,688.07 / $4,666.21	Professional		$2,158.92	$3,688.07	$4,666.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $600.92 / $3,654.50	Professional		$180.22	$600.92	$3,654.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,523.50 / $3,313.00 / $3,524.44	Facility		$2,523.50	$3,313.00	$3,524.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,355.60 / $2,355.60 / $2,387.83	Facility		$2,355.60	$2,355.60	$2,387.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,514.46 / $3,983.02 / $4,897.39	Professional		$2,514.46	$3,983.02	$4,897.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,402.40 / $3,434.92 / $4,626.74	Professional		$2,402.40	$3,434.92	$4,626.74
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 $2,258.96 / $3,593.81 / $5,082.66	Professional		$2,258.96	$3,593.81	$5,082.66