Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,986.37 / $4,808.75 / $20,680.40	Facility		$1,986.37	$4,808.75	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,589.45 / $1,986.37 / $4,808.75	Professional		$1,589.45	$1,986.37	$4,808.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,167.15 / $29,280.32	Facility		$55.00	$2,167.15	$29,280.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,220.48 / $3,780.07 / $14,099.93	Professional		$2,220.48	$3,780.07	$14,099.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.15 / $3,209.06 / $4,706.09	Professional		$2,017.15	$3,209.06	$4,706.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,713.06 / $3,392.27 / $4,119.85	Facility		$1,713.06	$3,392.27	$4,119.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,985.76 / $3,438.03 / $4,383.96	Professional		$1,985.76	$3,438.03	$4,383.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $448.55 / $3,361.93	Professional		$133.70	$448.55	$3,361.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,628.10 / $3,131.56 / $3,701.08	Facility		$2,628.10	$3,131.56	$3,701.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,167.15 / $2,167.15 / $2,186.75	Facility		$2,167.15	$2,167.15	$2,186.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,301.02 / $3,625.69 / $4,340.47	Professional		$2,301.02	$3,625.69	$4,340.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,210.21 / $3,145.66 / $4,237.12	Professional		$2,210.21	$3,145.66	$4,237.12
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 $2,086.58 / $3,117.75 / $4,600.62	Professional		$2,086.58	$3,117.75	$4,600.62