Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,693.84 / $6,962.65 / $20,680.40	Facility		$3,693.84	$6,962.65	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,726.16 / $3,693.84 / $7,584.84	Professional		$2,726.16	$3,693.84	$7,584.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,946.65 / $69,690.39	Facility		$55.00	$3,946.65	$69,690.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,026.79 / $6,828.34 / $25,309.43	Professional		$4,026.79	$6,828.34	$25,309.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,669.82 / $5,807.66 / $8,558.77	Professional		$3,669.82	$5,807.66	$8,558.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,776.36 / $6,170.47 / $7,493.93	Facility		$2,776.36	$6,170.47	$7,493.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,612.06 / $6,248.89 / $7,985.25	Professional		$3,612.06	$6,248.89	$7,985.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.34 / $779.71 / $6,146.30	Professional		$214.34	$779.71	$6,146.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,503.20 / $5,495.84 / $5,888.80	Facility		$4,503.20	$5,495.84	$5,888.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,946.65 / $3,946.65 / $3,948.35	Facility		$3,946.65	$3,946.65	$3,948.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,165.50 / $6,563.52 / $7,855.70	Professional		$4,165.50	$6,563.52	$7,855.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,026.79 / $5,677.30 / $7,647.18	Professional		$4,026.79	$5,677.30	$7,647.18
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 $3,619.00 / $5,148.01 / $8,328.41	Professional		$3,619.00	$5,148.01	$8,328.41