Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,047.58 / $6,173.18 / $20,680.40	Facility		$3,047.58	$6,173.18	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.76 / $3,047.58 / $6,282.01	Professional		$1,708.76	$3,047.58	$6,282.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,252.54 / $58,020.27	Facility		$55.00	$3,252.54	$58,020.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.16 / $5,578.22 / $23,012.00	Professional		$3,317.16	$5,578.22	$23,012.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,031.70 / $4,780.66 / $7,125.63	Professional		$3,031.70	$4,780.66	$7,125.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,291.83 / $4,331.37 / $6,190.79	Facility		$2,291.83	$4,331.37	$6,190.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,983.95 / $4,390.09 / $6,597.50	Professional		$2,983.95	$4,390.09	$6,597.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $640.23 / $5,108.40	Professional		$164.36	$640.23	$5,108.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,367.35 / $4,559.18 / $4,868.12	Facility		$3,367.35	$4,559.18	$4,868.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,252.54 / $3,252.54 / $3,293.60	Facility		$3,252.54	$3,252.54	$3,293.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,468.67 / $5,465.54 / $6,541.56	Professional		$3,468.67	$5,465.54	$6,541.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,317.16 / $4,737.88 / $6,381.80	Professional		$3,317.16	$4,737.88	$6,381.80
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 $2,724.72 / $4,668.28 / $7,032.97	Professional		$2,724.72	$4,668.28	$7,032.97