Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,986.37 / $4,202.72 / $20,680.40	Facility		$1,986.37	$4,202.72	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.58 / $1,986.37 / $4,202.72	Professional		$1,584.58	$1,986.37	$4,202.72
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 $2,250.86 / $3,780.07 / $14,099.93	Professional		$2,250.86	$3,780.07	$14,099.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.15 / $3,164.34 / $4,706.09	Professional		$2,017.15	$3,164.34	$4,706.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,520.24 / $3,392.27 / $4,119.85	Facility		$1,520.24	$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 $2,384.69 / $3,014.58 / $3,246.15	Facility		$2,384.69	$3,014.58	$3,246.15
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 $2,042.08 / $2,944.39 / $4,600.62	Professional		$2,042.08	$2,944.39	$4,600.62