Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.55 / $4,500.00 / $20,680.40	Facility		$2,187.55	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.19 / $2,187.55 / $4,561.28	Professional		$1,630.19	$2,187.55	$4,561.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,230.12 / $30,098.88	Facility		$55.00	$2,230.12	$30,098.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,282.46 / $3,885.58 / $14,495.40	Professional		$2,282.46	$3,885.58	$14,495.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,073.63 / $3,255.45 / $4,837.43	Professional		$2,073.63	$3,255.45	$4,837.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,570.77 / $3,487.25 / $4,235.20	Facility		$1,570.77	$3,487.25	$4,235.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.36 / $3,533.57 / $4,505.91	Professional		$2,041.36	$3,533.57	$4,505.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $457.91 / $3,491.43	Professional		$133.70	$457.91	$3,491.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,513.59 / $3,098.04 / $3,475.96	Facility		$2,513.59	$3,098.04	$3,475.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,230.12 / $2,230.12 / $2,247.98	Facility		$2,230.12	$2,230.12	$2,247.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,365.23 / $3,726.89 / $4,462.02	Professional		$2,365.23	$3,726.89	$4,462.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,274.42 / $3,233.75 / $4,355.77	Professional		$2,274.42	$3,233.75	$4,355.77
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 $2,254.59 / $3,453.60 / $5,017.35	Professional		$2,254.59	$3,453.60	$5,017.35