Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,145.58 / $5,341.90 / $22,024.00	Facility		$3,145.58	$5,341.90	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.60 / $3,145.58 / $5,372.46	Professional		$2,326.60	$3,145.58	$5,372.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,378.47 / $59,984.40	Facility		$55.00	$3,378.47	$59,984.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,470.01 / $5,866.00 / $21,965.55	Professional		$3,470.01	$5,866.00	$21,965.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,141.28 / $4,954.09 / $7,354.89	Professional		$3,141.28	$4,954.09	$7,354.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,092.17 / $5,391.64 / $6,630.26	Facility		$3,092.17	$5,391.64	$6,630.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,318.77 / $5,391.64 / $6,630.26	Professional		$3,318.77	$5,391.64	$6,630.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $619.42 / $3,826.65 / $6,193.63	Professional		$619.42	$3,826.65	$6,193.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,273.90 / $4,703.72 / $4,998.20	Facility		$3,273.90	$4,703.72	$4,998.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,378.47 / $3,378.47 / $3,409.22	Facility		$3,378.47	$3,378.47	$3,409.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,509.18 / $5,666.42 / $6,781.98	Professional		$3,509.18	$5,666.42	$6,781.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,445.60 / $4,904.20 / $6,605.83	Professional		$3,445.60	$4,904.20	$6,605.83
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 $3,258.65 / $4,591.74 / $7,331.94	Professional		$3,258.65	$4,591.74	$7,331.94