Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,868.54 / $6,214.00 / $20,680.40	Facility		$2,868.54	$6,214.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.05 / $2,868.54 / $6,300.80	Professional		$1,863.05	$2,868.54	$6,300.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,066.81 / $67,582.06	Facility		$55.00	$3,066.81	$67,582.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,127.74 / $5,267.00 / $30,682.00	Professional		$3,127.74	$5,267.00	$30,682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,860.33 / $4,504.05 / $6,699.96	Professional		$2,860.33	$4,504.05	$6,699.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,235.10 / $4,809.64 / $5,841.23	Facility		$2,235.10	$4,809.64	$5,841.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,815.46 / $4,909.16 / $6,247.30	Professional		$2,815.46	$4,909.16	$6,247.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.42 / $605.86 / $4,817.75	Professional		$163.42	$605.86	$4,817.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,465.14 / $4,285.87 / $4,791.84	Facility		$3,465.14	$4,285.87	$4,791.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,066.81 / $3,066.81 / $3,099.83	Facility		$3,066.81	$3,066.81	$3,099.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,267.30 / $5,148.25 / $6,161.80	Professional		$3,267.30	$5,148.25	$6,161.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,127.74 / $4,459.14 / $6,006.35	Professional		$3,127.74	$4,459.14	$6,006.35
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 $2,883.58 / $4,694.21 / $6,532.58	Professional		$2,883.58	$4,694.21	$6,532.58