Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,624.28 / $5,445.38 / $27,982.24	Facility		$2,624.28	$5,445.38	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.16 / $2,624.28 / $5,481.37	Professional		$1,885.16	$2,624.28	$5,481.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,894.22 / $29,727.60	Facility		$55.00	$2,894.22	$29,727.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,079.24 / $5,371.01 / $19,852.05	Professional		$3,079.24	$5,371.01	$19,852.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,675.12 / $4,379.10 / $6,440.45	Professional		$2,675.12	$4,379.10	$6,440.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,559.63 / $4,325.89 / $5,460.86	Facility		$2,559.63	$4,325.89	$5,460.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,632.12 / $4,325.89 / $5,460.86	Professional		$2,632.12	$4,325.89	$5,460.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $738.72 / $4,608.85	Professional		$200.71	$738.72	$4,608.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,070.76 / $4,080.48 / $4,385.82	Facility		$3,070.76	$4,080.48	$4,385.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,894.22 / $2,894.22 / $2,991.52	Facility		$2,894.22	$2,894.22	$2,991.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,079.24 / $4,973.13 / $6,135.57	Professional		$3,079.24	$4,973.13	$6,135.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,951.72 / $4,303.34 / $5,796.48	Professional		$2,951.72	$4,303.34	$5,796.48
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 $2,684.00 / $4,347.00 / $6,269.01	Professional		$2,684.00	$4,347.00	$6,269.01