Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,752.04 / $4,260.53 / $20,680.40	Facility		$1,752.04	$4,260.53	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.41 / $1,752.04 / $3,874.59	Professional		$1,336.41	$1,752.04	$3,874.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,037.59 / $14,259.44	Facility		$55.00	$2,037.59	$14,259.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,157.71 / $3,750.52 / $13,241.18	Professional		$2,157.71	$3,750.52	$13,241.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.76 / $3,135.69 / $4,618.33	Professional		$1,891.76	$3,135.69	$4,618.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,747.83 / $3,059.93 / $3,862.75	Facility		$1,747.83	$3,059.93	$3,862.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,861.84 / $3,059.93 / $3,862.75	Professional		$1,861.84	$3,059.93	$3,862.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $537.04 / $3,289.38	Professional		$164.99	$537.04	$3,289.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,115.33 / $2,849.25 / $3,073.29	Facility		$2,115.33	$2,849.25	$3,073.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,037.59 / $2,037.59 / $2,096.26	Facility		$2,037.59	$2,037.59	$2,096.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,157.71 / $3,450.42 / $4,299.39	Professional		$2,157.71	$3,450.42	$4,299.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,078.08 / $3,001.96 / $4,061.79	Professional		$2,078.08	$3,001.96	$4,061.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,706.17 / $6,974.21 / $13,441.00	Facility		$5,706.17	$6,974.21	$13,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,884.97 / $3,274.91 / $4,377.59	Professional		$1,884.97	$3,274.91	$4,377.59