Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,727.97 / $7,704.55 / $20,680.40	Facility		$3,727.97	$7,704.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,680.50 / $3,727.97 / $7,772.39	Professional		$2,680.50	$3,727.97	$7,772.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,127.74 / $42,269.28	Facility		$55.00	$4,127.74	$42,269.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,310.97 / $7,678.33 / $28,303.50	Professional		$4,310.97	$7,678.33	$28,303.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,820.88 / $6,226.20 / $9,149.74	Professional		$3,820.88	$6,226.20	$9,149.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,653.51 / $6,164.54 / $7,799.46	Facility		$3,653.51	$6,164.54	$7,799.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,759.33 / $6,164.54 / $7,799.46	Professional		$3,759.33	$6,164.54	$7,799.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.25 / $1,038.64 / $6,524.69	Professional		$320.25	$1,038.64	$6,524.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,431.56 / $5,791.74 / $6,244.40	Facility		$4,431.56	$5,791.74	$6,244.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,127.74 / $4,127.74 / $4,259.24	Facility		$4,127.74	$4,127.74	$4,259.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,384.13 / $7,097.85 / $8,735.64	Professional		$4,384.13	$7,097.85	$8,735.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,209.74 / $6,126.97 / $8,252.86	Professional		$4,209.74	$6,126.97	$8,252.86
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 $3,843.84 / $6,522.88 / $9,385.14	Professional		$3,843.84	$6,522.88	$9,385.14