Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.69 / $4,389.22 / $20,680.40	Facility		$2,093.69	$4,389.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,454.48 / $2,093.69 / $3,991.63	Professional		$1,454.48	$2,093.69	$3,991.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,303.05 / $23,693.88	Facility		$55.00	$2,303.05	$23,693.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,418.67 / $4,287.78 / $15,795.75	Professional		$2,418.67	$4,287.78	$15,795.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,122.30 / $3,489.21 / $5,136.13	Professional		$2,122.30	$3,489.21	$5,136.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,034.01 / $3,431.70 / $4,332.06	Facility		$2,034.01	$3,431.70	$4,332.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,088.04 / $3,431.70 / $4,332.06	Professional		$2,088.04	$3,431.70	$4,332.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.92 / $1,893.14 / $3,861.25	Professional		$283.92	$1,893.14	$3,861.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,303.15 / $3,164.20 / $3,492.71	Facility		$2,303.15	$3,164.20	$3,492.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,303.05 / $2,303.05 / $2,382.34	Facility		$2,303.05	$2,303.05	$2,382.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,452.19 / $3,955.90 / $4,886.14	Professional		$2,452.19	$3,955.90	$4,886.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,348.81 / $3,427.03 / $4,616.10	Professional		$2,348.81	$3,427.03	$4,616.10
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 $2,069.33 / $3,448.90 / $4,987.77	Professional		$2,069.33	$3,448.90	$4,987.77