Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,289.75 / $5,116.62 / $27,504.29	Facility		$2,289.75	$5,116.62	$27,504.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.38 / $2,289.75 / $4,729.97	Professional		$1,569.38	$2,289.75	$4,729.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,378.25 / $14,598.71	Facility		$55.00	$2,378.25	$14,598.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.94 / $4,372.58 / $15,197.18	Professional		$2,511.94	$4,372.58	$15,197.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,244.11 / $3,660.38 / $5,378.08	Professional		$2,244.11	$3,660.38	$5,378.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,118.88 / $3,773.62 / $4,583.00	Facility		$2,118.88	$3,773.62	$4,583.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,209.00 / $3,773.62 / $4,583.00	Professional		$2,209.00	$3,773.62	$4,583.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $2,149.93 / $4,171.97	Professional		$200.40	$2,149.93	$4,171.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,560.56 / $3,428.39 / $3,577.80	Facility		$2,560.56	$3,428.39	$3,577.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,378.25 / $2,378.25 / $2,440.38	Facility		$2,378.25	$2,378.25	$2,440.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.94 / $4,070.68 / $5,005.18	Professional		$2,511.94	$4,070.68	$5,005.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,425.50 / $3,510.52 / $4,728.57	Professional		$2,425.50	$3,510.52	$4,728.57
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 $2,290.19 / $3,458.64 / $5,103.64	Professional		$2,290.19	$3,458.64	$5,103.64