Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.75 / $5,000.81 / $20,680.40	Facility		$2,411.75	$5,000.81	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,668.12 / $2,411.75 / $5,000.81	Professional		$1,668.12	$2,411.75	$5,000.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,504.17 / $19,761.21	Facility		$55.00	$2,504.17	$19,761.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,644.59 / $4,381.18 / $24,470.00	Professional		$2,644.59	$4,381.18	$24,470.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,361.09 / $3,852.31 / $5,663.12	Professional		$2,361.09	$3,852.31	$5,663.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,229.17 / $3,970.10 / $4,821.60	Facility		$2,229.17	$3,970.10	$4,821.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,324.01 / $3,970.10 / $4,821.60	Professional		$2,324.01	$3,970.10	$4,821.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $527.24 / $4,187.31	Professional		$134.44	$527.24	$4,187.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,693.34 / $3,604.60 / $3,766.74	Facility		$2,693.34	$3,604.60	$3,766.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,504.17 / $2,504.17 / $2,569.25	Facility		$2,504.17	$2,504.17	$2,569.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,644.59 / $4,285.64 / $5,269.50	Professional		$2,644.59	$4,285.64	$5,269.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,553.94 / $3,695.90 / $4,978.28	Professional		$2,553.94	$3,695.90	$4,978.28
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 $2,409.44 / $3,639.23 / $5,421.24	Professional		$2,409.44	$3,639.23	$5,421.24