Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,973.42 / $4,500.00 / $20,680.40	Facility		$1,973.42	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.12 / $1,973.42 / $4,548.04	Professional		$1,608.12	$1,973.42	$4,548.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,154.46 / $29,090.08	Facility		$55.00	$2,154.46	$29,090.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.28 / $3,753.90 / $14,009.10	Professional		$2,236.28	$3,753.90	$14,009.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,183.44 / $3,145.52 / $4,675.57	Professional		$2,183.44	$3,145.52	$4,675.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,651.68 / $3,559.99 / $4,458.85	Facility		$1,651.68	$3,559.99	$4,458.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,149.16 / $3,559.99 / $4,557.18	Professional		$2,149.16	$3,559.99	$4,557.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $445.10 / $3,350.20	Professional		$133.70	$445.10	$3,350.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,533.30 / $2,995.90 / $3,464.57	Facility		$2,533.30	$2,995.90	$3,464.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,154.46 / $2,154.46 / $2,172.58	Facility		$2,154.46	$2,154.46	$2,172.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,285.08 / $3,600.58 / $4,312.35	Professional		$2,285.08	$3,600.58	$4,312.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,197.27 / $3,125.28 / $4,209.67	Professional		$2,197.27	$3,125.28	$4,209.67
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 $2,076.37 / $2,925.79 / $4,601.03	Professional		$2,076.37	$2,925.79	$4,601.03