Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,387.84 / $6,470.00 / $20,680.40	Facility		$3,387.84	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,798.43 / $3,387.84 / $7,004.31	Professional		$1,798.43	$3,387.84	$7,004.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,618.56 / $49,441.76	Facility		$55.00	$3,618.56	$49,441.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,690.46 / $6,363.06 / $23,664.75	Professional		$3,690.46	$6,363.06	$23,664.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,364.14 / $5,315.42 / $7,968.20	Professional		$3,364.14	$5,315.42	$7,968.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,562.15 / $4,642.32 / $6,920.73	Facility		$2,562.15	$4,642.32	$6,920.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,335.78 / $4,793.70 / $7,387.38	Professional		$3,335.78	$4,793.70	$7,387.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.09 / $749.23 / $5,762.88	Professional		$213.09	$749.23	$5,762.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,569.75 / $5,097.66 / $5,420.96	Facility		$3,569.75	$5,097.66	$5,420.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,618.56 / $3,618.56 / $3,680.68	Facility		$3,618.56	$3,618.56	$3,680.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,873.34 / $6,103.18 / $7,305.78	Professional		$3,873.34	$6,103.18	$7,305.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,690.46 / $5,294.70 / $7,131.82	Professional		$3,690.46	$5,294.70	$7,131.82
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 $3,161.01 / $4,662.67 / $7,744.27	Professional		$3,161.01	$4,662.67	$7,744.27