Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.69 / $4,147.84 / $20,680.40	Facility		$2,036.69	$4,147.84	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.95 / $2,036.69 / $4,147.84	Professional		$1,479.95	$2,036.69	$4,147.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,163.98 / $38,739.54	Facility		$55.00	$2,163.98	$38,739.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.21 / $3,794.35 / $14,139.83	Professional		$2,261.21	$3,794.35	$14,139.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,128.56 / $3,186.81 / $4,763.89	Professional		$2,128.56	$3,186.81	$4,763.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,516.83 / $3,365.45 / $4,087.28	Facility		$1,516.83	$3,365.45	$4,087.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,970.06 / $3,420.26 / $4,371.64	Professional		$1,970.06	$3,420.26	$4,371.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $454.11 / $3,419.03	Professional		$120.05	$454.11	$3,419.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,380.34 / $3,048.64 / $3,220.69	Facility		$2,380.34	$3,048.64	$3,220.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,163.98 / $2,163.98 / $2,196.80	Facility		$2,163.98	$2,163.98	$2,196.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,296.42 / $3,639.38 / $4,360.43	Professional		$2,296.42	$3,639.38	$4,360.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,206.96 / $3,160.12 / $4,256.60	Professional		$2,206.96	$3,160.12	$4,256.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,032.17 / $3,069.29 / $4,617.97	Professional		$2,032.17	$3,069.29	$4,617.97