Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,811.63 / $7,262.60 / $20,680.40	Facility		$3,811.63	$7,262.60	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,805.51 / $3,811.63 / $7,911.60	Professional		$2,805.51	$3,811.63	$7,911.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,077.45 / $72,345.84	Facility		$55.00	$4,077.45	$72,345.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,218.55 / $7,108.76 / $26,284.20	Professional		$4,218.55	$7,108.76	$26,284.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,812.56 / $5,993.44 / $8,880.54	Professional		$3,812.56	$5,993.44	$8,880.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,881.45 / $6,367.21 / $7,786.26	Facility		$2,881.45	$6,367.21	$7,786.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,752.96 / $6,367.21 / $8,300.11	Professional		$3,752.96	$6,367.21	$8,300.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.09 / $810.13 / $6,421.26	Professional		$213.09	$810.13	$6,421.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,421.76 / $5,701.84 / $6,093.48	Facility		$4,421.76	$5,701.84	$6,093.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,077.45 / $4,077.45 / $4,098.38	Facility		$4,077.45	$4,077.45	$4,098.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,327.27 / $6,818.42 / $8,160.78	Professional		$4,327.27	$6,818.42	$8,160.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,158.46 / $5,895.57 / $7,941.16	Professional		$4,158.46	$5,895.57	$7,941.16
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 $3,791.23 / $5,345.40 / $8,651.84	Professional		$3,791.23	$5,345.40	$8,651.84