Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,685.44 / $7,279.87 / $20,680.40	Facility		$3,685.44	$7,279.87	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,376.52 / $3,685.44 / $7,332.02	Professional		$2,376.52	$3,685.44	$7,332.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,901.69 / $36,969.90	Facility		$55.00	$3,901.69	$36,969.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,106.12 / $7,147.01 / $30,904.28	Professional		$4,106.12	$7,147.01	$30,904.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,422.68 / $5,719.50 / $7,220.10	Facility		$3,422.68	$5,719.50	$7,220.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,480.08 / $5,719.50 / $7,275.03	Professional		$3,480.08	$5,719.50	$7,275.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.73 / $810.42 / $6,456.72	Professional		$220.73	$810.42	$6,456.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,004.88 / $5,400.20 / $5,848.43	Facility		$4,004.88	$5,400.20	$5,848.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,901.69 / $3,901.69 / $3,989.15	Facility		$3,901.69	$3,901.69	$3,989.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,106.12 / $6,652.81 / $8,181.69	Professional		$4,106.12	$6,652.81	$8,181.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,979.21 / $5,720.54 / $7,729.53	Professional		$3,979.21	$5,720.54	$7,729.53
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 $3,528.49 / $6,092.07 / $8,341.91	Professional		$3,528.49	$6,092.07	$8,341.91