Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,625.08 / $8,295.83 / $20,680.40	Facility		$4,625.08	$8,295.83	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,112.93 / $4,625.08 / $9,037.16	Professional		$3,112.93	$4,625.08	$9,037.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,689.00 / $63,838.08	Facility		$55.00	$4,689.00	$63,838.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,950.97 / $8,567.31 / $30,604.43	Professional		$4,950.97	$8,567.31	$30,604.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,352.88 / $7,043.32 / $10,296.98	Professional		$4,352.88	$7,043.32	$10,296.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,239.47 / $7,041.26 / $8,888.64	Facility		$4,239.47	$7,041.26	$8,888.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,284.31 / $7,096.78 / $8,888.64	Professional		$4,284.31	$7,096.78	$8,888.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $339.44 / $1,170.35 / $7,293.69	Professional		$339.44	$1,170.35	$7,293.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,978.24 / $6,589.66 / $6,969.34	Facility		$4,978.24	$6,589.66	$6,969.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,689.00 / $4,689.00 / $4,753.71	Facility		$4,689.00	$4,689.00	$4,753.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,001.39 / $7,929.44 / $9,749.79	Professional		$5,001.39	$7,929.44	$9,749.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,782.16 / $6,838.27 / $9,210.96	Professional		$4,782.16	$6,838.27	$9,210.96
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 $4,295.75 / $7,159.60 / $9,999.70	Professional		$4,295.75	$7,159.60	$9,999.70