Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,522.71 / $5,124.64 / $20,680.40	Facility		$2,522.71	$5,124.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.08 / $2,522.71 / $5,208.85	Professional		$1,836.08	$2,522.71	$5,208.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,695.35 / $48,078.24	Facility		$55.00	$2,695.35	$48,078.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,804.52 / $4,711.41 / $17,495.78	Professional		$2,804.52	$4,711.41	$17,495.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,505.04 / $3,963.28 / $5,905.08	Professional		$2,505.04	$3,963.28	$5,905.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,895.96 / $4,212.25 / $5,115.70	Facility		$1,895.96	$4,212.25	$5,115.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,465.76 / $4,248.54 / $5,484.21	Professional		$2,465.76	$4,248.54	$5,484.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.67 / $2,302.28 / $4,458.29	Professional		$232.67	$2,302.28	$4,458.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,860.00 / $3,788.17 / $4,018.80	Facility		$2,860.00	$3,788.17	$4,018.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,695.35 / $2,695.35 / $2,724.63	Facility		$2,695.35	$2,695.35	$2,724.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,867.94 / $4,518.99 / $5,408.65	Professional		$2,867.94	$4,518.99	$5,408.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,748.90 / $3,919.42 / $5,279.35	Professional		$2,748.90	$3,919.42	$5,279.35
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 $2,470.86 / $3,529.80 / $5,824.16	Professional		$2,470.86	$3,529.80	$5,824.16