Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,934.57 / $5,819.41 / $20,680.40	Facility		$2,934.57	$5,819.41	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,108.39 / $2,934.57 / $5,858.89	Professional		$2,108.39	$2,934.57	$5,858.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,238.95 / $33,247.19	Facility		$55.00	$3,238.95	$33,247.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,444.27 / $6,006.30 / $22,208.48	Professional		$3,444.27	$6,006.30	$22,208.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,995.02 / $4,896.01 / $7,202.25	Professional		$2,995.02	$4,896.01	$7,202.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,575.21 / $4,836.37 / $6,016.22	Facility		$2,575.21	$4,836.37	$6,016.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,860.99 / $4,842.74 / $6,113.31	Professional		$2,860.99	$4,842.74	$6,113.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.79 / $873.29 / $5,106.74	Professional		$278.79	$873.29	$5,106.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,334.91 / $4,487.66 / $4,905.74	Facility		$3,334.91	$4,487.66	$4,905.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,238.95 / $3,238.95 / $3,346.15	Facility		$3,238.95	$3,238.95	$3,346.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,444.27 / $5,564.94 / $6,862.91	Professional		$3,444.27	$5,564.94	$6,862.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,303.30 / $4,813.47 / $6,483.63	Professional		$3,303.30	$4,813.47	$6,483.63
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 $3,059.76 / $5,119.74 / $7,010.50	Professional		$3,059.76	$5,119.74	$7,010.50