Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,434.09 / $5,073.54 / $20,680.40	Facility		$2,434.09	$5,073.54	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,747.54 / $2,434.09 / $5,073.54	Professional		$1,747.54	$2,434.09	$5,073.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,682.67 / $27,571.20	Facility		$55.00	$2,682.67	$27,571.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,854.86 / $4,975.60 / $18,398.63	Professional		$2,854.86	$4,975.60	$18,398.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.56 / $4,059.20 / $5,974.66	Professional		$2,476.56	$4,059.20	$5,974.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,370.62 / $4,004.34 / $5,054.95	Facility		$2,370.62	$4,004.34	$5,054.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,436.48 / $4,004.34 / $5,054.95	Professional		$2,436.48	$4,004.34	$5,054.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $732.19 / $4,271.07	Professional		$200.71	$732.19	$4,271.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,840.62 / $3,784.72 / $4,066.23	Facility		$2,840.62	$3,784.72	$4,066.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,682.67 / $2,682.67 / $2,773.53	Facility		$2,682.67	$2,682.67	$2,773.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,854.86 / $4,607.35 / $5,688.47	Professional		$2,854.86	$4,607.35	$5,688.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,735.96 / $3,989.76 / $5,374.10	Professional		$2,735.96	$3,989.76	$5,374.10
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 $2,482.59 / $4,023.61 / $5,807.50	Professional		$2,482.59	$4,023.61	$5,807.50