Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,906.48 / $7,434.72 / $20,680.40	Facility		$3,906.48	$7,434.72	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,259.58 / $3,906.48 / $8,905.84	Professional		$2,259.58	$3,906.48	$8,905.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,181.18 / $74,154.36	Facility		$55.00	$4,181.18	$74,154.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,264.26 / $7,289.63 / $26,948.25	Professional		$4,264.26	$7,289.63	$26,948.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,915.50 / $6,143.58 / $9,099.87	Professional		$3,915.50	$6,143.58	$9,099.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,957.71 / $5,740.67 / $7,995.82	Facility		$2,957.71	$5,740.67	$7,995.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,853.97 / $5,826.71 / $8,555.41	Professional		$3,853.97	$5,826.71	$8,555.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.34 / $828.69 / $6,606.60	Professional		$214.34	$828.69	$6,606.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,344.54 / $5,842.62 / $6,252.60	Facility		$4,344.54	$5,842.62	$6,252.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,181.18 / $4,181.18 / $4,201.66	Facility		$4,181.18	$4,181.18	$4,201.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,437.37 / $6,991.91 / $8,368.42	Professional		$4,437.37	$6,991.91	$8,368.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,264.26 / $6,044.14 / $8,141.29	Professional		$4,264.26	$6,044.14	$8,141.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,658.80 / $5,488.21 / $8,871.96	Professional		$3,658.80	$5,488.21	$8,871.96