Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,261.54 / $6,470.00 / $20,680.40	Facility		$3,261.54	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,413.69 / $3,261.54 / $6,707.12	Professional		$2,413.69	$3,261.54	$6,707.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,468.62 / $55,760.44	Facility		$55.00	$3,468.62	$55,760.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,537.53 / $5,911.81 / $23,438.00	Professional		$3,537.53	$5,911.81	$23,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,245.46 / $5,101.29 / $7,567.84	Professional		$3,245.46	$5,101.29	$7,567.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,454.58 / $5,457.07 / $6,627.52	Facility		$2,454.58	$5,457.07	$6,627.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,194.45 / $5,534.13 / $7,052.50	Professional		$3,194.45	$5,534.13	$7,052.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $687.65 / $5,454.56	Professional		$179.18	$687.65	$5,454.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,727.92 / $4,859.26 / $5,206.08	Facility		$3,727.92	$4,859.26	$5,206.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,468.62 / $3,468.62 / $3,490.57	Facility		$3,468.62	$3,468.62	$3,490.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,684.04 / $5,804.91 / $6,947.73	Professional		$3,684.04	$5,804.91	$6,947.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,537.53 / $5,021.22 / $6,763.45	Professional		$3,537.53	$5,021.22	$6,763.45
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 $3,228.98 / $4,440.53 / $7,365.79	Professional		$3,228.98	$4,440.53	$7,365.79