Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,470.00 / $12,297.30 / $20,680.40	Facility		$6,470.00	$12,297.30	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,062.51 / $7,290.95 / $15,193.70	Professional		$5,062.51	$7,290.95	$15,193.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,734.52 / $52,424.72	Facility		$55.00	$7,734.52	$52,424.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8,327.78 / $14,111.20 / $50,328.60	Professional		$8,327.78	$14,111.20	$50,328.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,140.97 / $11,578.32 / $16,891.32	Professional		$7,140.97	$11,578.32	$16,891.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,968.64 / $11,805.41 / $14,583.72	Facility		$6,968.64	$11,805.41	$14,583.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,029.33 / $11,805.41 / $14,583.72	Professional		$7,029.33	$11,805.41	$14,583.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.47 / $1,549.71 / $12,686.94	Professional		$409.47	$1,549.71	$12,686.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,336.31 / $10,805.27 / $11,686.51	Facility		$8,336.31	$10,805.27	$11,686.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,734.52 / $7,734.52 / $7,814.70	Facility		$7,734.52	$7,734.52	$7,814.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,324.79 / $13,035.33 / $16,027.83	Professional		$8,324.79	$13,035.33	$16,027.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,888.19 / $11,241.54 / $15,142.05	Professional		$7,888.19	$11,241.54	$15,142.05
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,381.73 / $12,028.33 / $17,146.79	Professional		$7,381.73	$12,028.33	$17,146.79