Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,005.70 / $7,767.27 / $20,680.40	Facility		$4,005.70	$7,767.27	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,958.56 / $4,005.70 / $8,360.91	Professional		$2,958.56	$4,005.70	$8,360.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,284.02 / $76,025.67	Facility		$55.00	$4,284.02	$76,025.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,433.05 / $7,468.92 / $27,621.53	Professional		$4,433.05	$7,468.92	$27,621.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,005.75 / $6,297.46 / $9,332.69	Professional		$4,005.75	$6,297.46	$9,332.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,027.77 / $6,735.97 / $8,180.72	Facility		$3,027.77	$6,735.97	$8,180.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,943.10 / $6,857.31 / $8,685.95	Professional		$3,943.10	$6,857.31	$8,685.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.09 / $843.49 / $6,750.71	Professional		$213.09	$843.49	$6,750.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,567.87 / $5,992.56 / $6,402.20	Facility		$4,567.87	$5,992.56	$6,402.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,284.02 / $4,284.02 / $4,306.77	Facility		$4,284.02	$4,284.02	$4,306.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,546.50 / $7,163.87 / $8,574.24	Professional		$4,546.50	$7,163.87	$8,574.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,369.13 / $6,195.34 / $8,344.95	Professional		$4,369.13	$6,195.34	$8,344.95
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 $3,932.04 / $6,155.49 / $9,268.37	Professional		$3,932.04	$6,155.49	$9,268.37