Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,449.83 / $4,967.16 / $20,680.40	Facility		$2,449.83	$4,967.16	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,824.55 / $2,449.83 / $5,058.02	Professional		$1,824.55	$2,449.83	$5,058.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,617.42 / $57,716.88	Facility		$55.00	$2,617.42	$57,716.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,669.44 / $4,497.49 / $23,012.00	Professional		$2,669.44	$4,497.49	$23,012.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,440.88 / $3,845.24 / $5,723.33	Professional		$2,440.88	$3,845.24	$5,723.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,844.19 / $4,104.22 / $4,984.51	Facility		$1,844.19	$4,104.22	$4,984.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,402.52 / $4,189.14 / $5,314.40	Professional		$2,402.52	$4,189.14	$5,314.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,228.33 / $4,303.23	Professional		$232.90	$2,228.33	$4,303.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,834.16 / $3,660.50 / $3,918.16	Facility		$2,834.16	$3,660.50	$3,918.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,617.42 / $2,617.42 / $2,646.94	Facility		$2,617.42	$2,617.42	$2,646.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,787.78 / $4,392.68 / $5,257.47	Professional		$2,787.78	$4,392.68	$5,257.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,669.44 / $3,807.66 / $5,128.82	Professional		$2,669.44	$3,807.66	$5,128.82
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 $2,525.69 / $3,545.16 / $5,573.84	Professional		$2,525.69	$3,545.16	$5,573.84