Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,223.30 / $4,500.00 / $20,680.40	Facility		$2,223.30	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.76 / $2,223.30 / $4,555.80	Professional		$1,597.76	$2,223.30	$4,555.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,361.48 / $52,353.08	Facility		$55.00	$2,361.48	$52,353.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,408.41 / $4,073.52 / $23,352.00	Professional		$2,408.41	$4,073.52	$23,352.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,478.28 / $5,200.77	Professional		$2,233.19	$3,478.28	$5,200.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,686.09 / $3,693.15 / $4,485.26	Facility		$1,686.09	$3,693.15	$4,485.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,161.89 / $3,769.56 / $4,817.07	Professional		$2,161.89	$3,769.56	$4,817.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $476.46 / $3,723.47	Professional		$133.70	$476.46	$3,723.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,546.53 / $3,330.89 / $3,544.84	Facility		$2,546.53	$3,330.89	$3,544.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.48 / $2,361.48 / $2,397.42	Facility		$2,361.48	$2,361.48	$2,397.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,521.21 / $3,972.66 / $4,758.64	Professional		$2,521.21	$3,972.66	$4,758.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,408.41 / $3,448.72 / $4,645.33	Professional		$2,408.41	$3,448.72	$4,645.33
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 $2,208.48 / $3,184.32 / $5,040.88	Professional		$2,208.48	$3,184.32	$5,040.88