Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,165.98 / $4,500.00 / $20,680.40	Facility		$2,165.98	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.20 / $2,165.98 / $4,228.58	Professional		$1,481.20	$2,165.98	$4,228.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,190.71 / $20,535.79	Facility		$55.00	$2,190.71	$20,535.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,338.19 / $4,005.30 / $14,311.28	Professional		$2,338.19	$4,005.30	$14,311.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,035.79 / $3,295.80 / $4,820.93	Professional		$2,035.79	$3,295.80	$4,820.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,983.66 / $3,422.72 / $4,156.84	Facility		$1,983.66	$3,422.72	$4,156.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,003.59 / $3,422.72 / $4,156.84	Professional		$2,003.59	$3,422.72	$4,156.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $584.98 / $3,392.53	Professional		$169.72	$584.98	$3,392.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,360.82 / $3,086.10 / $3,259.55	Facility		$2,360.82	$3,086.10	$3,259.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,190.71 / $2,190.71 / $2,223.31	Facility		$2,190.71	$2,190.71	$2,223.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,338.19 / $3,708.59 / $4,559.96	Professional		$2,338.19	$3,708.59	$4,559.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $3,198.25 / $4,307.96	Professional		$2,234.23	$3,198.25	$4,307.96
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 $2,089.29 / $3,299.46 / $4,718.33	Professional		$2,089.29	$3,299.46	$4,718.33