Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,038.76 / $5,816.07 / $20,680.40	Facility		$3,038.76	$5,816.07	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,762.29 / $3,038.76 / $5,816.07	Professional		$1,762.29	$3,038.76	$5,816.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,933.18 / $17,799.88	Facility		$55.00	$2,933.18	$17,799.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,102.94 / $5,419.07 / $18,744.45	Professional		$3,102.94	$5,419.07	$18,744.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,719.48 / $4,550.68 / $6,650.56	Professional		$2,719.48	$4,550.68	$6,650.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,675.41 / $4,411.81 / $5,550.67	Facility		$2,675.41	$4,411.81	$5,550.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,675.41 / $4,411.81 / $5,611.27	Professional		$2,675.41	$4,411.81	$5,611.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $772.90 / $4,683.20	Professional		$219.60	$772.90	$4,683.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,094.02 / $4,195.54 / $4,375.12	Facility		$3,094.02	$4,195.54	$4,375.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,933.18 / $2,933.18 / $2,978.27	Facility		$2,933.18	$2,933.18	$2,978.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,152.85 / $4,967.92 / $6,108.38	Professional		$3,152.85	$4,967.92	$6,108.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,991.45 / $4,284.27 / $5,770.80	Professional		$2,991.45	$4,284.27	$5,770.80
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 $2,755.07 / $4,715.89 / $6,290.18	Professional		$2,755.07	$4,715.89	$6,290.18