Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,296.71 / $4,616.12 / $20,680.40	Facility		$2,296.71	$4,616.12	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.16 / $2,296.71 / $4,616.12	Professional		$1,777.16	$2,296.71	$4,616.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,326.16 / $16,315.76	Facility		$55.00	$2,326.16	$16,315.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,496.59 / $4,276.62 / $14,862.15	Professional		$2,496.59	$4,276.62	$14,862.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,195.71 / $3,580.22 / $5,259.70	Professional		$2,195.71	$3,580.22	$5,259.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,073.37 / $3,692.42 / $4,484.38	Facility		$2,073.37	$3,692.42	$4,484.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,161.46 / $3,692.42 / $4,484.38	Professional		$2,161.46	$3,692.42	$4,484.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $2,023.17 / $4,054.21	Professional		$250.16	$2,023.17	$4,054.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,525.78 / $3,411.00 / $3,498.74	Facility		$2,525.78	$3,411.00	$3,498.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.16 / $2,326.16 / $2,386.44	Facility		$2,326.16	$2,326.16	$2,386.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $3,980.73 / $4,894.58	Professional		$2,456.42	$3,980.73	$4,894.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,372.37 / $3,432.94 / $4,624.08	Professional		$2,372.37	$3,432.94	$4,624.08
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 $2,240.48 / $3,493.44 / $4,991.64	Professional		$2,240.48	$3,493.44	$4,991.64