Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.36 / $4,852.14 / $20,680.40	Facility		$2,318.36	$4,852.14	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.55 / $2,318.36 / $4,852.14	Professional		$1,630.55	$2,318.36	$4,852.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,555.37 / $26,260.32	Facility		$55.00	$2,555.37	$26,260.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,716.77 / $4,740.68 / $17,540.18	Professional		$2,716.77	$4,740.68	$17,540.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,369.56 / $3,865.07 / $5,689.13	Professional		$2,369.56	$3,865.07	$5,689.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,033.19 / $3,725.59 / $4,749.68	Facility		$2,033.19	$3,725.59	$4,749.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,258.82 / $3,725.59 / $4,836.58	Professional		$2,258.82	$3,725.59	$4,836.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $676.02 / $4,069.32	Professional		$199.44	$676.02	$4,069.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,718.05 / $3,603.78 / $3,874.61	Facility		$2,718.05	$3,603.78	$3,874.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,555.37 / $2,555.37 / $2,642.83	Facility		$2,555.37	$2,555.37	$2,642.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,720.32 / $4,394.66 / $5,420.41	Professional		$2,720.32	$4,394.66	$5,420.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,606.14 / $3,801.75 / $5,120.85	Professional		$2,606.14	$3,801.75	$5,120.85
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 $2,414.73 / $4,040.94 / $5,533.30	Professional		$2,414.73	$4,040.94	$5,533.30