Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,080.51 / $4,273.51 / $20,680.40	Facility		$2,080.51	$4,273.51	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,537.03 / $2,080.51 / $4,273.51	Professional		$1,537.03	$2,080.51	$4,273.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,213.81 / $39,453.12	Facility		$55.00	$2,213.81	$39,453.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,257.79 / $3,780.99 / $18,750.00	Professional		$2,257.79	$3,780.99	$18,750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,199.48 / $3,260.94 / $4,849.97	Professional		$2,199.48	$3,260.94	$4,849.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,567.98 / $3,477.82 / $4,223.75	Facility		$1,567.98	$3,477.82	$4,223.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,035.84 / $3,549.78 / $4,535.50	Professional		$2,035.84	$3,549.78	$4,535.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $467.37 / $3,564.24	Professional		$120.09	$467.37	$3,564.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,471.30 / $3,117.24 / $3,323.16	Facility		$2,471.30	$3,117.24	$3,323.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,213.81 / $2,213.81 / $2,232.44	Facility		$2,213.81	$2,213.81	$2,232.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,354.62 / $3,710.15 / $4,440.57	Professional		$2,354.62	$3,710.15	$4,440.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,257.79 / $3,211.40 / $4,325.67	Professional		$2,257.79	$3,211.40	$4,325.67
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 $2,094.96 / $2,986.55 / $4,768.84	Professional		$2,094.96	$2,986.55	$4,768.84