Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,932.66 / $5,875.60 / $20,680.40	Facility		$2,932.66	$5,875.60	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,835.55 / $2,932.66 / $5,898.16	Professional		$1,835.55	$2,932.66	$5,898.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,229.89 / $33,208.80	Facility		$55.00	$3,229.89	$33,208.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,437.68 / $5,992.24 / $22,147.95	Professional		$3,437.68	$5,992.24	$22,147.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,975.81 / $4,890.35 / $7,197.39	Professional		$2,975.81	$4,890.35	$7,197.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,272.61 / $4,655.47 / $6,009.36	Facility		$2,272.61	$4,655.47	$6,009.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,441.92 / $4,792.91 / $6,074.56	Professional		$2,441.92	$4,792.91	$6,074.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $411.51 / $2,657.23 / $5,407.64	Professional		$411.51	$2,657.23	$5,407.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,245.18 / $4,403.31 / $4,896.35	Facility		$3,245.18	$4,403.31	$4,896.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,229.89 / $3,229.89 / $3,339.76	Facility		$3,229.89	$3,229.89	$3,339.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,437.68 / $5,546.89 / $6,849.79	Professional		$3,437.68	$5,546.89	$6,849.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,294.06 / $4,804.28 / $6,471.23	Professional		$3,294.06	$4,804.28	$6,471.23
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 $2,943.84 / $5,232.34 / $6,994.09	Professional		$2,943.84	$5,232.34	$6,994.09