Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,362.82 / $6,470.00 / $20,680.40	Facility		$3,362.82	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,516.16 / $3,362.82 / $7,010.64	Professional		$2,516.16	$3,362.82	$7,010.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,591.84 / $57,709.46	Facility		$55.00	$3,591.84	$57,709.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $6,118.47 / $25,739.00	Professional		$3,663.20	$6,118.47	$25,739.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,360.53 / $5,282.33 / $7,832.38	Professional		$3,360.53	$5,282.33	$7,832.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,541.69 / $5,650.65 / $6,862.61	Facility		$2,541.69	$5,650.65	$6,862.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,307.77 / $5,754.00 / $7,350.98	Professional		$3,307.77	$5,754.00	$7,350.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $707.79 / $5,641.42	Professional		$179.18	$707.79	$5,641.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,963.72 / $5,029.35 / $5,367.24	Facility		$3,963.72	$5,029.35	$5,367.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,591.84 / $3,591.84 / $3,612.59	Facility		$3,591.84	$3,591.84	$3,612.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,812.98 / $6,008.07 / $7,190.89	Professional		$3,812.98	$6,008.07	$7,190.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $5,196.75 / $6,999.88	Professional		$3,663.20	$5,196.75	$6,999.88
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 $3,362.00 / $5,164.22 / $7,623.58	Professional		$3,362.00	$5,164.22	$7,623.58