Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,136.31 / $6,468.39 / $20,680.40	Facility		$3,136.31	$6,468.39	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,254.16 / $3,136.31 / $6,516.74	Professional		$2,254.16	$3,136.31	$6,516.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,466.36 / $35,542.19	Facility		$55.00	$3,466.36	$35,542.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,684.17 / $6,449.10 / $23,769.60	Professional		$3,684.17	$6,449.10	$23,769.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,208.26 / $5,234.52 / $7,696.52	Professional		$3,208.26	$5,234.52	$7,696.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,066.39 / $5,188.00 / $6,549.15	Facility		$3,066.39	$5,188.00	$6,549.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,156.68 / $5,188.00 / $6,549.15	Professional		$3,156.68	$5,188.00	$6,549.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $876.16 / $5,524.77	Professional		$279.66	$876.16	$5,524.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,734.29 / $4,874.26 / $5,247.44	Facility		$3,734.29	$4,874.26	$5,247.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,466.36 / $3,466.36 / $3,579.22	Facility		$3,466.36	$3,466.36	$3,579.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,684.17 / $5,958.96 / $7,340.93	Professional		$3,684.17	$5,958.96	$7,340.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,535.22 / $5,148.75 / $6,935.24	Professional		$3,535.22	$5,148.75	$6,935.24
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 $3,221.50 / $5,222.00 / $7,501.95	Professional		$3,221.50	$5,222.00	$7,501.95