Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,141.57 / $4,516.02 / $20,680.40	Facility		$2,141.57	$4,516.02	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,709.81 / $2,141.57 / $4,618.06	Professional		$1,709.81	$2,141.57	$4,618.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,337.92 / $31,569.76	Facility		$55.00	$2,337.92	$31,569.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,427.26 / $4,075.98 / $15,207.68	Professional		$2,427.26	$4,075.98	$15,207.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,175.14 / $3,412.86 / $5,073.49	Professional		$2,175.14	$3,412.86	$5,073.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,647.34 / $3,658.35 / $4,443.00	Facility		$1,647.34	$3,658.35	$4,443.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,141.52 / $3,705.68 / $4,725.60	Professional		$2,141.52	$3,705.68	$4,725.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $471.77 / $3,682.49	Professional		$133.70	$471.77	$3,682.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,557.31 / $3,249.21 / $3,532.24	Facility		$2,557.31	$3,249.21	$3,532.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,337.92 / $2,337.92 / $2,358.12	Facility		$2,337.92	$2,337.92	$2,358.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,481.14 / $3,909.50 / $4,680.64	Professional		$2,481.14	$3,909.50	$4,680.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,384.38 / $3,392.18 / $4,569.18	Professional		$2,384.38	$3,392.18	$4,569.18
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 $2,250.11 / $3,089.08 / $4,960.72	Professional		$2,250.11	$3,089.08	$4,960.72