Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,871.81 / $4,240.80 / $20,680.40	Facility		$1,871.81	$4,240.80	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.51 / $1,871.81 / $3,856.64	Professional		$1,343.51	$1,871.81	$3,856.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,058.42 / $21,193.08	Facility		$55.00	$2,058.42	$21,193.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,193.00 / $3,820.84 / $14,123.55	Professional		$2,193.00	$3,820.84	$14,123.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,892.38 / $3,120.22 / $4,594.46	Professional		$1,892.38	$3,120.22	$4,594.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,823.68 / $3,059.93 / $3,862.75	Facility		$1,823.68	$3,059.93	$3,862.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,861.84 / $3,059.93 / $3,862.75	Professional		$1,861.84	$3,059.93	$3,862.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $522.77 / $3,299.80	Professional		$160.08	$522.77	$3,299.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,151.66 / $2,912.21 / $3,123.54	Facility		$2,151.66	$2,912.21	$3,123.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,058.42 / $2,058.42 / $2,130.53	Facility		$2,058.42	$2,058.42	$2,130.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,193.00 / $3,534.40 / $4,369.68	Professional		$2,193.00	$3,534.40	$4,369.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,099.33 / $3,064.80 / $4,128.20	Professional		$2,099.33	$3,064.80	$4,128.20
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 $1,923.99 / $2,949.53 / $4,459.64	Professional		$1,923.99	$2,949.53	$4,459.64