Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.08 / $4,500.00 / $20,680.40	Facility		$1,937.08	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.00 / $1,937.08 / $4,447.43	Professional		$1,447.00	$1,937.08	$4,447.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,234.19 / $17,402.75	Facility		$55.00	$2,234.19	$17,402.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,343.06 / $3,843.25 / $14,703.08	Professional		$2,343.06	$3,843.25	$14,703.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,054.06 / $3,425.39 / $4,997.93	Professional		$2,054.06	$3,425.39	$4,997.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,021.84 / $3,364.29 / $4,194.70	Facility		$2,021.84	$3,364.29	$4,194.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,021.84 / $3,364.29 / $4,209.46	Professional		$2,021.84	$3,364.29	$4,209.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $304.84 / $1,832.71 / $3,711.19	Professional		$304.84	$1,832.71	$3,711.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,447.69 / $3,200.06 / $3,384.84	Facility		$2,447.69	$3,200.06	$3,384.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.19 / $2,234.19 / $2,276.32	Facility		$2,234.19	$2,234.19	$2,276.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,397.65 / $3,797.02 / $4,668.68	Professional		$2,397.65	$3,797.02	$4,668.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,278.58 / $3,274.51 / $4,410.68	Professional		$2,278.58	$3,274.51	$4,410.68
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 $2,142.16 / $3,502.24 / $4,982.67	Professional		$2,142.16	$3,502.24	$4,982.67