Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.12 / $4,500.00 / $20,680.40	Facility		$2,106.12	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.33 / $2,106.12 / $4,317.06	Professional		$1,451.33	$2,106.12	$4,317.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,175.31 / $15,263.52	Facility		$55.00	$2,175.31	$15,263.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,334.34 / $4,012.22 / $14,877.05	Professional		$2,334.34	$4,012.22	$14,877.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,054.10 / $3,348.19 / $4,921.24	Professional		$2,054.10	$3,348.19	$4,921.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,954.06 / $3,453.90 / $4,194.70	Facility		$1,954.06	$3,453.90	$4,194.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,021.84 / $3,453.90 / $4,194.70	Professional		$2,021.84	$3,453.90	$4,194.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $460.26 / $3,650.07	Professional		$107.94	$460.26	$3,650.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,439.94 / $3,191.13 / $3,272.95	Facility		$2,439.94	$3,191.13	$3,272.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.31 / $2,175.31 / $2,232.44	Facility		$2,175.31	$2,175.31	$2,232.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,297.90 / $3,723.84 / $4,578.71	Professional		$2,297.90	$3,723.84	$4,578.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,218.52 / $3,211.40 / $4,325.67	Professional		$2,218.52	$3,211.40	$4,325.67
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,065.13 / $3,491.60 / $4,807.54	Professional		$2,065.13	$3,491.60	$4,807.54