Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,343.38 / $4,771.22 / $20,680.40	Facility		$2,343.38	$4,771.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.39 / $2,343.38 / $4,885.91	Professional		$1,821.39	$2,343.38	$4,885.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,554.46 / $34,537.92	Facility		$55.00	$2,554.46	$34,537.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,654.47 / $4,456.76 / $16,628.78	Professional		$2,654.47	$4,456.76	$16,628.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,387.57 / $3,733.46 / $5,553.37	Professional		$2,387.57	$3,733.46	$5,553.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,796.14 / $4,015.05 / $4,876.20	Facility		$1,796.14	$4,015.05	$4,876.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,350.32 / $4,061.85 / $5,195.47	Professional		$2,350.32	$4,061.85	$5,195.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.67 / $2,171.83 / $4,186.20	Professional		$232.67	$2,171.83	$4,186.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,775.22 / $3,567.99 / $3,786.84	Facility		$2,775.22	$3,567.99	$3,786.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,554.46 / $2,554.46 / $2,578.85	Facility		$2,554.46	$2,554.46	$2,578.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,712.93 / $4,274.74 / $5,118.77	Professional		$2,712.93	$4,274.74	$5,118.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,605.21 / $3,709.71 / $4,996.88	Professional		$2,605.21	$3,709.71	$4,996.88
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 $2,465.76 / $3,474.49 / $5,463.90	Professional		$2,465.76	$3,474.49	$5,463.90