Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,255.17 / $4,554.22 / $20,680.40	Facility		$2,255.17	$4,554.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.58 / $2,255.17 / $4,618.47	Professional		$1,642.58	$2,255.17	$4,618.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,393.65 / $53,096.42	Facility		$55.00	$2,393.65	$53,096.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,441.21 / $4,130.97 / $21,307.00	Professional		$2,441.21	$4,130.97	$21,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,526.33 / $5,275.21	Professional		$2,233.19	$3,526.33	$5,275.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,688.57 / $3,743.17 / $4,546.02	Facility		$1,688.57	$3,743.17	$4,546.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,191.17 / $3,820.62 / $4,867.59	Professional		$2,191.17	$3,820.62	$4,867.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $482.90 / $3,845.25	Professional		$132.79	$482.90	$3,845.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,581.32 / $3,378.48 / $3,593.12	Facility		$2,581.32	$3,378.48	$3,593.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.65 / $2,393.65 / $2,431.23	Facility		$2,393.65	$2,393.65	$2,431.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,556.46 / $4,028.20 / $4,825.77	Professional		$2,556.46	$4,028.20	$4,825.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,441.21 / $3,497.37 / $4,710.85	Professional		$2,441.21	$3,497.37	$4,710.85
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 $2,290.64 / $3,644.20 / $5,111.35	Professional		$2,290.64	$3,644.20	$5,111.35