Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,272.71 / $6,470.00 / $20,680.40	Facility		$3,272.71	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,384.46 / $3,272.71 / $6,710.66	Professional		$2,384.46	$3,272.71	$6,710.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,476.78 / $62,096.16	Facility		$55.00	$3,476.78	$62,096.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,623.96 / $6,094.92 / $22,626.00	Professional		$3,623.96	$6,094.92	$22,626.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,233.33 / $5,114.32 / $7,626.46	Professional		$3,233.33	$5,114.32	$7,626.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,445.59 / $5,396.62 / $6,602.86	Facility		$2,445.59	$5,396.62	$6,602.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,182.57 / $5,396.62 / $7,074.06	Professional		$3,182.57	$5,396.62	$7,074.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $696.25 / $5,523.17	Professional		$179.18	$696.25	$5,523.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,690.92 / $4,905.39 / $5,219.00	Facility		$3,690.92	$4,905.39	$5,219.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.78 / $3,476.78 / $3,520.73	Facility		$3,476.78	$3,476.78	$3,520.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,710.12 / $5,845.99 / $6,996.91	Professional		$3,710.12	$5,845.99	$6,996.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,545.85 / $5,064.60 / $6,821.89	Professional		$3,545.85	$5,064.60	$6,821.89
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 $3,206.85 / $4,721.30 / $7,538.83	Professional		$3,206.85	$4,721.30	$7,538.83