Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,959.73 / $4,491.64 / $20,680.40	Facility		$1,959.73	$4,491.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,406.81 / $1,959.73 / $4,084.76	Professional		$1,406.81	$1,959.73	$4,084.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,155.37 / $20,344.06	Facility		$55.00	$2,155.37	$20,344.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,296.96 / $4,000.34 / $14,796.15	Professional		$2,296.96	$4,000.34	$14,796.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,993.75 / $3,265.88 / $4,810.82	Professional		$1,993.75	$3,265.88	$4,810.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,911.42 / $3,223.84 / $4,069.67	Facility		$1,911.42	$3,223.84	$4,069.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,961.57 / $3,223.84 / $4,069.67	Professional		$1,961.57	$3,223.84	$4,069.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $526.78 / $3,448.79	Professional		$160.08	$526.78	$3,448.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,300.55 / $3,048.69 / $3,271.61	Facility		$2,300.55	$3,048.69	$3,271.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,155.37 / $2,155.37 / $2,231.53	Facility		$2,155.37	$2,155.37	$2,231.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,296.96 / $3,703.16 / $4,576.84	Professional		$2,296.96	$3,703.16	$4,576.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,198.19 / $3,210.09 / $4,323.89	Professional		$2,198.19	$3,210.09	$4,323.89
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 $2,031.05 / $3,164.19 / $4,636.78	Professional		$2,031.05	$3,164.19	$4,636.78