Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,019.71 / $5,116.62 / $18,800.00	Facility		$2,019.71	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.50 / $2,019.71 / $4,153.78	Professional		$1,521.50	$2,019.71	$4,153.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,324.80 / $16,241.92	Facility		$55.00	$2,324.80	$16,241.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,457.84 / $4,291.10 / $15,081.00	Professional		$2,457.84	$4,291.10	$15,081.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,164.19 / $3,574.72 / $5,259.35	Professional		$2,164.19	$3,574.72	$5,259.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,948.73 / $3,500.05 / $4,392.97	Facility		$1,948.73	$3,500.05	$4,392.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,129.63 / $3,500.05 / $4,418.34	Professional		$2,129.63	$3,500.05	$4,418.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $666.56 / $3,664.79	Professional		$197.54	$666.56	$3,664.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,346.61 / $3,125.55 / $3,500.75	Facility		$2,346.61	$3,125.55	$3,500.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,324.80 / $2,324.80 / $2,387.83	Facility		$2,324.80	$2,324.80	$2,387.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,457.84 / $3,974.73 / $4,897.39	Professional		$2,457.84	$3,974.73	$4,897.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,370.98 / $3,423.06 / $4,626.74	Professional		$2,370.98	$3,423.06	$4,626.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,121.62 / $3,734.29 / $4,991.64	Professional		$2,121.62	$3,734.29	$4,991.64