Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,428.58 / $4,923.14 / $20,680.40	Facility		$2,428.58	$4,923.14	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,796.50 / $2,428.58 / $5,005.62	Professional		$1,796.50	$2,428.58	$5,005.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,589.80 / $57,231.98	Facility		$55.00	$2,589.80	$57,231.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,641.25 / $4,457.10 / $24,631.00	Professional		$2,641.25	$4,457.10	$24,631.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,415.92 / $3,808.24 / $5,679.11	Professional		$2,415.92	$3,808.24	$5,679.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,827.76 / $4,062.17 / $4,933.43	Facility		$1,827.76	$4,062.17	$4,933.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,377.91 / $4,144.60 / $5,259.80	Professional		$2,377.91	$4,144.60	$5,259.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.67 / $502.09 / $4,036.07	Professional		$130.67	$502.09	$4,036.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,944.90 / $3,634.87 / $3,887.56	Facility		$2,944.90	$3,634.87	$3,887.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,589.80 / $2,589.80 / $2,623.18	Facility		$2,589.80	$2,589.80	$2,623.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,761.22 / $4,350.83 / $5,207.38	Professional		$2,761.22	$4,350.83	$5,207.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,641.25 / $3,773.48 / $5,082.77	Professional		$2,641.25	$3,773.48	$5,082.77
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 $2,443.98 / $3,390.60 / $5,520.73	Professional		$2,443.98	$3,390.60	$5,520.73