Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,260.69 / $4,845.37 / $20,680.40	Facility		$2,260.69	$4,845.37	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,660.64 / $2,260.69 / $4,903.30	Professional		$1,660.64	$2,260.69	$4,903.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,406.79 / $53,168.18	Facility		$55.00	$2,406.79	$53,168.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.69 / $4,215.60 / $24,074.39	Professional		$2,507.69	$4,215.60	$24,074.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,239.10 / $3,540.80 / $5,277.41	Professional		$2,239.10	$3,540.80	$5,277.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,694.77 / $3,764.92 / $4,572.43	Facility		$1,694.77	$3,764.92	$4,572.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,203.90 / $3,842.82 / $4,878.51	Professional		$2,203.90	$3,842.82	$4,878.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $480.98 / $3,825.81	Professional		$133.70	$480.98	$3,825.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,692.85 / $3,378.74 / $3,723.86	Facility		$2,692.85	$3,378.74	$3,723.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,406.79 / $2,406.79 / $2,436.27	Facility		$2,406.79	$2,406.79	$2,436.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,565.26 / $4,043.42 / $4,839.46	Professional		$2,565.26	$4,043.42	$4,839.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,454.61 / $3,504.60 / $4,720.60	Professional		$2,454.61	$3,504.60	$4,720.60
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 $2,255.35 / $3,251.91 / $5,130.68	Professional		$2,255.35	$3,251.91	$5,130.68