Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,000.78 / $6,470.00 / $20,680.40	Facility		$3,000.78	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,199.73 / $3,000.78 / $7,133.93	Professional		$2,199.73	$3,000.78	$7,133.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,204.98 / $57,131.76	Facility		$55.00	$3,204.98	$57,131.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,338.90 / $5,598.99 / $22,841.74	Professional		$3,338.90	$5,598.99	$22,841.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,990.00 / $4,709.07 / $7,015.03	Professional		$2,990.00	$4,709.07	$7,015.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,259.28 / $4,992.87 / $6,106.26	Facility		$2,259.28	$4,992.87	$6,106.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,943.21 / $4,992.87 / $6,502.86	Professional		$2,943.21	$4,992.87	$6,502.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $632.03 / $5,046.42	Professional		$164.36	$632.03	$5,046.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,769.89 / $4,489.74 / $4,998.87	Facility		$3,769.89	$4,489.74	$4,998.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.98 / $3,204.98 / $3,243.79	Facility		$3,204.98	$3,204.98	$3,243.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,415.55 / $5,381.85 / $6,441.38	Professional		$3,415.55	$5,381.85	$6,441.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,268.65 / $4,666.22 / $6,285.28	Professional		$3,268.65	$4,666.22	$6,285.28
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 $3,081.77 / $4,342.50 / $6,828.98	Professional		$3,081.77	$4,342.50	$6,828.98