Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.06 / $5,116.62 / $20,680.40	Facility		$2,453.06	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,759.24 / $2,453.06 / $5,128.01	Professional		$1,759.24	$2,453.06	$5,128.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,701.24 / $27,751.92	Facility		$55.00	$2,701.24	$27,751.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,873.67 / $5,026.47 / $18,520.50	Professional		$2,873.67	$5,026.47	$18,520.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,502.69 / $4,086.44 / $6,013.64	Professional		$2,502.69	$4,086.44	$6,013.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,396.86 / $4,046.89 / $5,108.66	Facility		$2,396.86	$4,046.89	$5,108.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,462.36 / $4,046.89 / $5,108.66	Professional		$2,462.36	$4,046.89	$5,108.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $732.64 / $4,294.01	Professional		$200.71	$732.64	$4,294.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,870.66 / $3,809.71 / $4,093.03	Facility		$2,870.66	$3,809.71	$4,093.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,701.24 / $2,701.24 / $2,791.81	Facility		$2,701.24	$2,701.24	$2,791.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,873.67 / $4,643.47 / $5,725.97	Professional		$2,873.67	$4,643.47	$5,725.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.91 / $4,016.06 / $5,409.52	Professional		$2,754.91	$4,016.06	$5,409.52
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 $2,509.25 / $4,122.72 / $5,847.07	Professional		$2,509.25	$4,122.72	$5,847.07