Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,415.51 / $7,381.59 / $20,680.40	Facility		$3,415.51	$7,381.59	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.07 / $3,415.51 / $7,381.59	Professional		$2,571.07	$3,415.51	$7,381.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,950.61 / $30,704.04	Facility		$55.00	$3,950.61	$30,704.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,132.46 / $7,244.62 / $25,358.03	Professional		$4,132.46	$7,244.62	$25,358.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,584.65 / $6,048.25 / $8,829.41	Professional		$3,584.65	$6,048.25	$8,829.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,418.58 / $5,798.31 / $7,319.59	Facility		$3,418.58	$5,798.31	$7,319.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,528.03 / $5,798.31 / $7,432.81	Professional		$3,528.03	$5,798.31	$7,432.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $342.45 / $1,068.88 / $6,223.28	Professional		$342.45	$1,068.88	$6,223.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,042.99 / $5,508.07 / $5,885.95	Facility		$4,042.99	$5,508.07	$5,885.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,950.61 / $3,950.61 / $4,014.75	Facility		$3,950.61	$3,950.61	$4,014.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,132.46 / $6,696.81 / $8,234.18	Professional		$4,132.46	$6,696.81	$8,234.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,029.10 / $5,775.26 / $7,779.12	Professional		$4,029.10	$5,775.26	$7,779.12
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 $3,576.65 / $5,776.18 / $8,455.85	Professional		$3,576.65	$5,776.18	$8,455.85