Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,140.10 / $6,470.00 / $22,024.00	Facility		$4,140.10	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,130.09 / $4,140.10 / $8,028.71	Professional		$3,130.09	$4,140.10	$8,028.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,524.10 / $99,266.44	Facility		$55.00	$4,524.10	$99,266.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,613.99 / $7,828.16 / $29,136.15	Professional		$4,613.99	$7,828.16	$29,136.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,179.47 / $6,646.21 / $9,837.85	Professional		$4,179.47	$6,646.21	$9,837.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,114.13 / $7,173.56 / $8,821.54	Facility		$4,114.13	$7,173.56	$8,821.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,415.60 / $7,173.56 / $8,821.54	Professional		$4,415.60	$7,173.56	$8,821.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.87 / $892.84 / $7,106.60	Professional		$216.87	$892.84	$7,106.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,374.04 / $6,317.90 / $6,662.48	Facility		$4,374.04	$6,317.90	$6,662.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,524.10 / $4,524.10 / $4,543.04	Facility		$4,524.10	$4,524.10	$4,543.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,676.25 / $7,561.82 / $9,050.54	Professional		$4,676.25	$7,561.82	$9,050.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,613.99 / $6,535.21 / $8,802.76	Professional		$4,613.99	$6,535.21	$8,802.76
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 $4,334.93 / $6,165.29 / $9,595.14	Professional		$4,334.93	$6,165.29	$9,595.14