Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,325.30 / $7,375.22 / $20,680.40	Facility		$4,325.30	$7,375.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,156.84 / $4,325.30 / $8,941.41	Professional		$3,156.84	$4,325.30	$8,941.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,624.68 / $101,979.80	Facility		$55.00	$4,624.68	$101,979.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,755.53 / $8,078.28 / $30,124.95	Professional		$4,755.53	$8,078.28	$30,124.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,311.12 / $6,792.29 / $10,110.70	Professional		$4,311.12	$6,792.29	$10,110.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,255.93 / $7,249.27 / $8,804.11	Facility		$3,255.93	$7,249.27	$8,804.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,243.57 / $7,399.26 / $9,300.20	Professional		$4,243.57	$7,399.26	$9,300.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.74 / $930.73 / $7,221.88	Professional		$269.74	$930.73	$7,221.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,199.39 / $6,469.85 / $6,957.60	Facility		$5,199.39	$6,469.85	$6,957.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,624.68 / $4,624.68 / $4,677.39	Facility		$4,624.68	$4,624.68	$4,677.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,889.41 / $7,764.98 / $9,293.69	Professional		$4,889.41	$7,764.98	$9,293.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,716.56 / $6,728.49 / $9,063.09	Professional		$4,716.56	$6,728.49	$9,063.09
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 $4,456.32 / $6,785.75 / $9,874.79	Professional		$4,456.32	$6,785.75	$9,874.79