Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.54 / $4,523.85 / $20,680.40	Facility		$2,194.54	$4,523.85	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,558.22 / $2,194.54 / $4,633.83	Professional		$1,558.22	$2,194.54	$4,633.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,396.37 / $32,352.96	Facility		$55.00	$2,396.37	$32,352.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,443.98 / $4,166.18 / $15,584.48	Professional		$2,443.98	$4,166.18	$15,584.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,230.82 / $3,497.96 / $5,199.21	Professional		$2,230.82	$3,497.96	$5,199.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,675.55 / $3,751.87 / $4,564.10	Facility		$1,675.55	$3,751.87	$4,564.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,196.27 / $3,794.90 / $4,592.93	Professional		$2,196.27	$3,794.90	$4,592.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.76 / $2,040.91 / $3,885.85	Professional		$233.76	$2,040.91	$3,885.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,619.05 / $3,329.55 / $3,545.64	Facility		$2,619.05	$3,329.55	$3,545.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,396.37 / $2,396.37 / $2,416.62	Facility		$2,396.37	$2,396.37	$2,416.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,487.48 / $4,004.62 / $4,796.74	Professional		$2,487.48	$4,004.62	$4,796.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,443.98 / $3,476.34 / $4,682.52	Professional		$2,443.98	$3,476.34	$4,682.52
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 $2,305.91 / $3,128.52 / $5,081.42	Professional		$2,305.91	$3,128.52	$5,081.42