Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,680.52 / $5,440.38 / $20,680.40	Facility		$2,680.52	$5,440.38	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,858.94 / $2,680.52 / $5,507.81	Professional		$1,858.94	$2,680.52	$5,507.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,786.40 / $21,964.95	Facility		$55.00	$2,786.40	$21,964.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,939.53 / $4,872.71 / $30,415.00	Professional		$2,939.53	$4,872.71	$30,415.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,628.83 / $4,283.47 / $6,292.96	Professional		$2,628.83	$4,283.47	$6,292.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,480.91 / $4,420.32 / $5,368.40	Facility		$2,480.91	$4,420.32	$5,368.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,587.56 / $4,420.32 / $5,368.40	Professional		$2,587.56	$4,420.32	$5,368.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.73 / $604.17 / $4,679.84	Professional		$150.73	$604.17	$4,679.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,009.98 / $4,013.30 / $4,186.83	Facility		$3,009.98	$4,013.30	$4,186.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,786.40 / $2,786.40 / $2,855.79	Facility		$2,786.40	$2,786.40	$2,855.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,939.53 / $4,763.60 / $5,857.19	Professional		$2,939.53	$4,763.60	$5,857.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,841.76 / $4,108.09 / $5,533.49	Professional		$2,841.76	$4,108.09	$5,533.49
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 $2,682.24 / $4,361.75 / $5,972.58	Professional		$2,682.24	$4,361.75	$5,972.58