Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,990.67 / $7,690.47 / $20,680.40	Facility		$3,990.67	$7,690.47	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,456.55 / $3,990.67 / $7,828.58	Professional		$2,456.55	$3,990.67	$7,828.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,057.52 / $65,425.93	Facility		$55.00	$4,057.52	$65,425.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,285.93 / $7,431.82 / $26,436.98	Professional		$4,285.93	$7,431.82	$26,436.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,775.99 / $6,081.23 / $8,879.83	Professional		$3,775.99	$6,081.23	$8,879.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,660.30 / $6,136.96 / $7,711.41	Facility		$3,660.30	$6,136.96	$7,711.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,716.89 / $6,156.87 / $7,711.41	Professional		$3,716.89	$6,156.87	$7,711.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.94 / $1,072.67 / $6,291.26	Professional		$308.94	$1,072.67	$6,291.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,087.58 / $5,682.50 / $6,090.76	Facility		$4,087.58	$5,682.50	$6,090.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,057.52 / $4,057.52 / $4,105.22	Facility		$4,057.52	$4,057.52	$4,105.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,323.89 / $6,847.74 / $8,419.77	Professional		$4,323.89	$6,847.74	$8,419.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,138.13 / $5,905.43 / $7,954.45	Professional		$4,138.13	$5,905.43	$7,954.45
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 $3,797.58 / $6,313.48 / $8,773.37	Professional		$3,797.58	$6,313.48	$8,773.37