Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,070.98 / $4,500.00 / $20,680.40	Facility		$2,070.98	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,429.05 / $2,070.98 / $4,276.21	Professional		$1,429.05	$2,070.98	$4,276.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,273.61 / $23,445.24	Facility		$55.00	$2,273.61	$23,445.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.44 / $4,237.14 / $15,603.30	Professional		$2,424.44	$4,237.14	$15,603.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,093.27 / $3,451.95 / $5,084.85	Professional		$2,093.27	$3,451.95	$5,084.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,011.05 / $3,384.96 / $4,273.06	Facility		$2,011.05	$3,384.96	$4,273.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,059.61 / $3,384.96 / $4,274.03	Professional		$2,059.61	$3,384.96	$4,274.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.44 / $1,856.55 / $3,803.44	Professional		$282.44	$1,856.55	$3,803.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,398.76 / $3,223.06 / $3,453.18	Facility		$2,398.76	$3,223.06	$3,453.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,273.61 / $2,273.61 / $2,355.38	Facility		$2,273.61	$2,273.61	$2,355.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,424.44 / $3,901.74 / $4,830.84	Professional		$2,424.44	$3,901.74	$4,830.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,318.78 / $3,388.24 / $4,563.87	Professional		$2,318.78	$3,388.24	$4,563.87
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 $2,136.19 / $3,340.20 / $4,928.88	Professional		$2,136.19	$3,340.20	$4,928.88