Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,228.08 / $8,830.91 / $20,680.40	Facility		$5,228.08	$8,830.91	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.59 / $5,228.08 / $10,720.80	Professional		$1,499.59	$5,228.08	$10,720.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,542.00 / $121,891.64	Facility		$55.00	$5,542.00	$121,891.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,652.11 / $9,684.61 / $35,845.05	Professional		$5,652.11	$9,684.61	$35,845.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,025.18 / $8,143.11 / $12,083.32	Professional		$5,025.18	$8,143.11	$12,083.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,629.87 / $6,996.00 / $10,653.16	Facility		$3,629.87	$6,996.00	$10,653.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,750.69 / $7,377.60 / $11,271.26	Professional		$3,750.69	$7,377.60	$11,271.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.84 / $1,088.93 / $8,716.47	Professional		$285.84	$1,088.93	$8,716.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,985.49 / $7,757.04 / $8,319.12	Facility		$2,985.49	$7,757.04	$8,319.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,542.00 / $5,542.00 / $5,581.80	Facility		$5,542.00	$5,542.00	$5,581.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,895.24 / $9,289.07 / $11,117.83	Professional		$5,895.24	$9,289.07	$11,117.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,652.11 / $8,029.49 / $10,815.50	Professional		$5,652.11	$8,029.49	$10,815.50
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 $4,652.70 / $7,131.76 / $11,786.83	Professional		$4,652.70	$7,131.76	$11,786.83