Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,362.83 / $6,467.15 / $20,680.40	Facility		$3,362.83	$6,467.15	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,970.39 / $3,362.83 / $6,467.15	Professional		$1,970.39	$3,362.83	$6,467.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,245.29 / $30,912.53	Facility		$55.00	$3,245.29	$30,912.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,392.16 / $5,990.94 / $20,715.00	Professional		$3,392.16	$5,990.94	$20,715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,022.70 / $5,029.17 / $7,350.43	Professional		$3,022.70	$5,029.17	$7,350.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,973.77 / $4,891.14 / $6,169.66	Facility		$2,973.77	$4,891.14	$6,169.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,973.77 / $4,925.92 / $6,234.38	Professional		$2,973.77	$4,925.92	$6,234.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $927.98 / $5,168.51	Professional		$218.24	$927.98	$5,168.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,429.61 / $4,653.82 / $4,826.01	Facility		$3,429.61	$4,653.82	$4,826.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,245.29 / $3,245.29 / $3,291.77	Facility		$3,245.29	$3,245.29	$3,291.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.57 / $5,492.18 / $6,751.37	Professional		$3,485.57	$5,492.18	$6,751.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,309.77 / $4,735.26 / $6,378.26	Professional		$3,309.77	$4,735.26	$6,378.26
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 $2,968.16 / $5,213.56 / $6,977.25	Professional		$2,968.16	$5,213.56	$6,977.25