Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.25 / $4,500.00 / $20,680.40	Facility		$2,163.25	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.28 / $2,163.25 / $4,336.49	Professional		$1,499.28	$2,163.25	$4,336.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,195.69 / $13,378.33	Facility		$55.00	$2,195.69	$13,378.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.28 / $4,062.85 / $14,089.35	Professional		$2,361.28	$4,062.85	$14,089.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,021.16 / $3,410.21 / $4,975.54	Professional		$2,021.16	$3,410.21	$4,975.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,988.73 / $3,360.29 / $4,144.91	Facility		$1,988.73	$3,360.29	$4,144.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,988.73 / $3,360.29 / $4,190.60	Professional		$1,988.73	$3,360.29	$4,190.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $823.50 / $3,554.91	Professional		$124.59	$823.50	$3,554.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,312.03 / $3,141.38 / $3,282.33	Facility		$2,312.03	$3,141.38	$3,282.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,195.69 / $2,195.69 / $2,238.84	Facility		$2,195.69	$2,195.69	$2,238.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,363.80 / $3,734.51 / $4,591.83	Professional		$2,363.80	$3,734.51	$4,591.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,239.31 / $3,220.60 / $4,338.06	Professional		$2,239.31	$3,220.60	$4,338.06
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 $1,959.30 / $3,265.51 / $4,726.13	Professional		$1,959.30	$3,265.51	$4,726.13