Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,004.31 / $7,597.22 / $20,680.40	Facility		$4,004.31	$7,597.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,919.71 / $4,004.31 / $8,276.12	Professional		$2,919.71	$4,004.31	$8,276.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,280.85 / $94,380.52	Facility		$55.00	$4,280.85	$94,380.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,400.89 / $7,475.87 / $27,871.73	Professional		$4,400.89	$7,475.87	$27,871.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,991.37 / $6,287.89 / $9,358.04	Professional		$3,991.37	$6,287.89	$9,358.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,015.06 / $6,711.32 / $8,150.78	Facility		$3,015.06	$6,711.32	$8,150.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,928.67 / $6,850.18 / $8,608.60	Professional		$3,928.67	$6,850.18	$8,608.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.21 / $850.75 / $6,693.94	Professional		$218.21	$850.75	$6,693.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,810.82 / $5,989.17 / $6,426.00	Facility		$4,810.82	$5,989.17	$6,426.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,280.85 / $4,280.85 / $4,328.25	Facility		$4,280.85	$4,280.85	$4,328.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,525.63 / $7,185.94 / $8,600.65	Professional		$4,525.63	$7,185.94	$8,600.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,365.89 / $6,226.23 / $8,386.57	Professional		$4,365.89	$6,226.23	$8,386.57
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 $4,121.05 / $5,619.60 / $9,118.20	Professional		$4,121.05	$5,619.60	$9,118.20