Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,850.20 / $5,802.25 / $20,680.40	Facility		$2,850.20	$5,802.25	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.81 / $2,850.20 / $5,924.43	Professional		$1,983.81	$2,850.20	$5,924.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,050.48 / $53,785.20	Facility		$55.00	$3,050.48	$53,785.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,139.92 / $5,319.34 / $19,571.48	Professional		$3,139.92	$5,319.34	$19,571.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,856.02 / $4,579.97 / $6,591.34	Professional		$2,856.02	$4,579.97	$6,591.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,152.33 / $4,357.92 / $6,178.90	Facility		$2,152.33	$4,357.92	$6,178.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,811.65 / $4,620.93 / $6,178.90	Professional		$2,811.65	$4,620.93	$6,178.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $3,435.12 / $5,555.77	Professional		$564.41	$3,435.12	$5,555.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,316.81 / $4,229.13 / $4,584.56	Facility		$3,316.81	$4,229.13	$4,584.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,050.48 / $3,050.48 / $3,059.11	Facility		$3,050.48	$3,050.48	$3,059.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,252.87 / $5,138.35 / $6,149.96	Professional		$3,252.87	$5,138.35	$6,149.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,119.89 / $4,388.14 / $5,910.71	Professional		$3,119.89	$4,388.14	$5,910.71
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 $2,910.74 / $4,418.49 / $6,520.02	Professional		$2,910.74	$4,418.49	$6,520.02