Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,075.02 / $3,739.64 / $20,680.40	Facility		$2,075.02	$3,739.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.86 / $2,075.02 / $3,895.45	Professional		$1,128.86	$2,075.02	$3,895.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,274.06 / $23,473.44	Facility		$55.00	$2,274.06	$23,473.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,356.75 / $4,236.32 / $15,602.55	Professional		$2,356.75	$4,236.32	$15,602.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,006.12 / $3,392.00 / $5,093.13	Professional		$2,006.12	$3,392.00	$5,093.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,594.02 / $3,023.70 / $4,245.47	Facility		$1,594.02	$3,023.70	$4,245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,688.08 / $3,030.92 / $4,255.00	Professional		$1,688.08	$3,030.92	$4,255.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $608.02 / $3,608.73	Professional		$190.97	$608.02	$3,608.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,853.67 / $2,836.35 / $3,455.19	Facility		$1,853.67	$2,836.35	$3,455.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,274.06 / $2,274.06 / $2,356.75	Facility		$2,274.06	$2,274.06	$2,356.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,425.85 / $3,900.95 / $4,833.66	Professional		$2,425.85	$3,900.95	$4,833.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,319.23 / $3,390.21 / $4,566.52	Professional		$2,319.23	$3,390.21	$4,566.52
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 $1,935.55 / $2,904.01 / $4,861.79	Professional		$1,935.55	$2,904.01	$4,861.79