Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,460.00 / $4,758.30 / $20,680.40	Facility		$2,460.00	$4,758.30	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,766.90 / $2,460.00 / $4,758.30	Professional		$1,766.90	$2,460.00	$4,758.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,713.02 / $27,859.80	Facility		$55.00	$2,713.02	$27,859.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,886.84 / $5,032.68 / $18,619.13	Professional		$2,886.84	$5,032.68	$18,619.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,525.44 / $4,101.20 / $6,034.42	Professional		$2,525.44	$4,101.20	$6,034.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,468.34 / $4,000.94 / $5,155.32	Facility		$2,468.34	$4,000.94	$5,155.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,484.86 / $4,046.02 / $5,155.32	Professional		$2,484.86	$4,046.02	$5,155.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $732.64 / $4,260.34	Professional		$200.71	$732.64	$4,260.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,709.90 / $3,569.77 / $4,111.79	Facility		$2,709.90	$3,569.77	$4,111.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,713.02 / $2,713.02 / $2,804.61	Facility		$2,713.02	$2,713.02	$2,804.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,939.85 / $4,667.80 / $5,752.21	Professional		$2,939.85	$4,667.80	$5,752.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,766.92 / $4,034.46 / $5,434.31	Professional		$2,766.92	$4,034.46	$5,434.31
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 $2,517.11 / $4,511.29 / $5,866.27	Professional		$2,517.11	$4,511.29	$5,866.27