Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,226.19 / $4,500.00 / $20,680.40	Facility		$2,226.19	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.71 / $2,226.19 / $4,561.28	Professional		$1,591.71	$2,226.19	$4,561.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,364.66 / $52,409.76	Facility		$55.00	$2,364.66	$52,409.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,468.44 / $4,146.58 / $15,690.14	Professional		$2,468.44	$4,146.58	$15,690.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,482.49 / $5,205.89	Professional		$2,233.19	$3,482.49	$5,205.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,667.49 / $3,698.22 / $4,491.43	Facility		$1,667.49	$3,698.22	$4,491.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,164.86 / $3,765.64 / $4,710.16	Professional		$2,164.86	$3,765.64	$4,710.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $476.45 / $3,720.40	Professional		$133.70	$476.45	$3,720.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,650.70 / $3,333.43 / $3,542.63	Facility		$2,650.70	$3,333.43	$3,542.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,364.66 / $2,364.66 / $2,400.16	Facility		$2,364.66	$2,364.66	$2,400.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,470.54 / $3,977.22 / $4,764.09	Professional		$2,470.54	$3,977.22	$4,764.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,411.64 / $3,452.66 / $4,650.64	Professional		$2,411.64	$3,452.66	$4,650.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $2,446.00 / $5,793.00	Facility		$1,323.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,228.25 / $3,087.00 / $5,046.66	Professional		$2,228.25	$3,087.00	$5,046.66