Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,683.91 / $8,430.29 / $20,680.40	Facility		$4,683.91	$8,430.29	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,519.17 / $4,683.91 / $9,183.64	Professional		$2,519.17	$4,683.91	$9,183.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,712.10 / $83,695.92	Facility		$55.00	$4,712.10	$83,695.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,879.46 / $8,601.29 / $64,914.27	Professional		$4,879.46	$8,601.29	$64,914.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,061.34 / $6,594.29 / $8,997.82	Facility		$4,061.34	$6,594.29	$8,997.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,336.93 / $6,722.05 / $8,997.82	Professional		$4,336.93	$6,722.05	$8,997.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $347.69 / $1,175.00 / $7,279.91	Professional		$347.69	$1,175.00	$7,279.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,572.37 / $6,600.61 / $7,073.36	Facility		$4,572.37	$6,600.61	$7,073.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,712.10 / $4,712.10 / $4,740.46	Facility		$4,712.10	$4,712.10	$4,740.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,031.35 / $7,907.34 / $9,722.61	Professional		$5,031.35	$7,907.34	$9,722.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,805.72 / $6,819.21 / $9,185.29	Professional		$4,805.72	$6,819.21	$9,185.29
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 $4,327.68 / $7,247.70 / $10,046.40	Professional		$4,327.68	$7,247.70	$10,046.40