Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,312.55 / $4,806.27 / $20,680.40	Facility		$2,312.55	$4,806.27	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.34 / $2,312.55 / $4,806.27	Professional		$1,659.34	$2,312.55	$4,806.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,544.94 / $26,181.60	Facility		$55.00	$2,544.94	$26,181.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,710.44 / $4,606.93 / $17,465.03	Professional		$2,710.44	$4,606.93	$17,465.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,353.94 / $3,854.14 / $5,674.49	Professional		$2,353.94	$3,854.14	$5,674.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,255.00 / $3,806.25 / $4,804.88	Facility		$2,255.00	$3,806.25	$4,804.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,315.94 / $3,806.25 / $4,804.88	Professional		$2,315.94	$3,806.25	$4,804.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $615.47 / $4,022.48	Professional		$190.97	$615.47	$4,022.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,713.00 / $3,594.90 / $3,860.54	Facility		$2,713.00	$3,594.90	$3,860.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,544.94 / $2,544.94 / $2,633.23	Facility		$2,544.94	$2,544.94	$2,633.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,710.44 / $4,373.46 / $5,400.72	Professional		$2,710.44	$4,373.46	$5,400.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,595.52 / $3,787.94 / $5,102.25	Professional		$2,595.52	$3,787.94	$5,102.25
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 $2,399.33 / $4,025.42 / $5,512.04	Professional		$2,399.33	$4,025.42	$5,512.04