Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,342.65 / $4,905.29 / $20,680.40	Facility		$2,342.65	$4,905.29	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,683.01 / $2,342.65 / $4,905.29	Professional		$1,683.01	$2,342.65	$4,905.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,584.37 / $26,548.56	Facility		$55.00	$2,584.37	$26,548.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,750.43 / $4,792.80 / $17,736.53	Professional		$2,750.43	$4,792.80	$17,736.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,395.39 / $3,907.18 / $5,751.43	Professional		$2,395.39	$3,907.18	$5,751.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,290.67 / $3,873.21 / $4,889.41	Facility		$2,290.67	$3,873.21	$4,889.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,356.69 / $3,873.21 / $4,889.41	Professional		$2,356.69	$3,873.21	$4,889.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $676.02 / $4,114.11	Professional		$199.44	$676.02	$4,114.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,748.08 / $3,642.49 / $3,917.49	Facility		$2,748.08	$3,642.49	$3,917.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,584.37 / $2,584.37 / $2,672.08	Facility		$2,584.37	$2,584.37	$2,672.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,750.43 / $4,440.96 / $5,480.39	Professional		$2,750.43	$4,440.96	$5,480.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,635.71 / $3,843.81 / $5,177.52	Professional		$2,635.71	$3,843.81	$5,177.52
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 $2,441.12 / $4,184.99 / $5,572.96	Professional		$2,441.12	$4,184.99	$5,572.96