Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,957.29 / $4,462.14 / $20,680.40	Facility		$1,957.29	$4,462.14	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.66 / $1,957.29 / $4,057.93	Professional		$1,334.66	$1,957.29	$4,057.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,152.66 / $22,154.28	Facility		$55.00	$2,152.66	$22,154.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,292.26 / $3,993.72 / $14,761.80	Professional		$2,292.26	$3,993.72	$14,761.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,979.56 / $3,198.94 / $4,803.26	Professional		$1,979.56	$3,198.94	$4,803.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,887.33 / $3,018.85 / $4,040.61	Facility		$1,887.33	$3,018.85	$4,040.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,947.57 / $3,054.01 / $4,040.61	Professional		$1,947.57	$3,054.01	$4,040.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $524.56 / $3,379.98	Professional		$160.08	$524.56	$3,379.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,269.40 / $3,043.70 / $3,264.91	Facility		$2,269.40	$3,043.70	$3,264.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,152.66 / $2,152.66 / $2,226.96	Facility		$2,152.66	$2,152.66	$2,226.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,292.26 / $3,694.52 / $4,567.46	Professional		$2,292.26	$3,694.52	$4,567.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,195.42 / $3,203.51 / $4,315.04	Professional		$2,195.42	$3,203.51	$4,315.04
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 $1,929.90 / $3,404.22 / $4,615.68	Professional		$1,929.90	$3,404.22	$4,615.68