Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,261.85 / $6,470.00 / $20,680.40	Facility		$3,261.85	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,526.40 / $3,261.85 / $6,741.53	Professional		$1,526.40	$3,261.85	$6,741.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,495.35 / $61,750.08	Facility		$55.00	$3,495.35	$61,750.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,564.79 / $6,132.21 / $22,429.88	Professional		$3,564.79	$6,132.21	$22,429.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,132.73 / $5,139.46 / $7,582.39	Professional		$3,132.73	$5,139.46	$7,582.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,460.78 / $4,365.89 / $6,640.73	Facility		$2,460.78	$4,365.89	$6,640.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,200.82 / $4,604.04 / $7,099.82	Professional		$3,200.82	$4,604.04	$7,099.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $687.65 / $5,454.56	Professional		$179.18	$687.65	$5,454.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,948.04 / $4,867.93 / $5,201.93	Facility		$2,948.04	$4,867.93	$5,201.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.35 / $3,495.35 / $3,497.42	Facility		$3,495.35	$3,495.35	$3,497.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,732.82 / $5,881.76 / $7,039.71	Professional		$3,732.82	$5,881.76	$7,039.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,564.79 / $5,031.09 / $6,776.73	Professional		$3,564.79	$5,031.09	$6,776.73
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 $2,932.83 / $4,785.18 / $7,525.06	Professional		$2,932.83	$4,785.18	$7,525.06