Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,879.60 / $7,503.51 / $20,680.40	Facility		$3,879.60	$7,503.51	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,297.94 / $3,879.60 / $7,521.43	Professional		$2,297.94	$3,879.60	$7,521.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,768.96 / $35,957.46	Facility		$55.00	$3,768.96	$35,957.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.98 / $6,941.04 / $24,089.40	Professional		$4,010.98	$6,941.04	$24,089.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,522.76 / $5,835.13 / $8,496.74	Professional		$3,522.76	$5,835.13	$8,496.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,466.07 / $5,698.32 / $7,191.04	Facility		$3,466.07	$5,698.32	$7,191.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,466.07 / $5,698.32 / $7,240.62	Professional		$3,466.07	$5,698.32	$7,240.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.19 / $1,035.95 / $6,027.13	Professional		$318.19	$1,035.95	$6,027.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,026.20 / $5,431.46 / $5,628.36	Facility		$4,026.20	$5,431.46	$5,628.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,768.96 / $3,768.96 / $3,831.03	Facility		$3,768.96	$3,768.96	$3,831.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,052.01 / $6,390.36 / $7,857.39	Professional		$4,052.01	$6,390.36	$7,857.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,843.84 / $5,510.99 / $7,423.15	Professional		$3,843.84	$5,510.99	$7,423.15
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 $3,529.99 / $5,588.02 / $8,101.50	Professional		$3,529.99	$5,588.02	$8,101.50