Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.18 / $6,035.87 / $20,680.40	Facility		$3,137.18	$6,035.87	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,136.48 / $3,137.18 / $6,129.10	Professional		$2,136.48	$3,137.18	$6,129.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,178.70 / $43,285.44	Facility		$55.00	$3,178.70	$43,285.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,390.44 / $5,807.77 / $20,747.18	Professional		$3,390.44	$5,807.77	$20,747.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,956.73 / $4,776.13 / $6,983.40	Professional		$2,956.73	$4,776.13	$6,983.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,867.95 / $4,860.16 / $6,037.58	Facility		$2,867.95	$4,860.16	$6,037.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,910.11 / $4,860.16 / $6,037.58	Professional		$2,910.11	$4,860.16	$6,037.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $776.02 / $4,960.91	Professional		$236.86	$776.02	$4,960.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,370.67 / $4,469.81 / $4,751.16	Facility		$3,370.67	$4,469.81	$4,751.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.70 / $3,178.70 / $3,222.76	Facility		$3,178.70	$3,178.70	$3,222.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,390.44 / $5,375.74 / $6,609.84	Professional		$3,390.44	$5,375.74	$6,609.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,241.85 / $4,635.97 / $6,244.55	Professional		$3,241.85	$4,635.97	$6,244.55
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 $2,922.92 / $4,635.72 / $6,778.78	Professional		$2,922.92	$4,635.72	$6,778.78