Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,230.52 / $6,718.98 / $20,680.40	Facility		$3,230.52	$6,718.98	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,322.63 / $3,230.52 / $6,776.04	Professional		$2,322.63	$3,230.52	$6,776.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,575.08 / $36,623.28	Facility		$55.00	$3,575.08	$36,623.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,798.48 / $6,628.35 / $24,522.68	Professional		$3,798.48	$6,628.35	$24,522.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,319.41 / $5,393.36 / $7,927.67	Professional		$3,319.41	$5,393.36	$7,927.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,169.71 / $5,367.96 / $6,776.32	Facility		$3,169.71	$5,367.96	$6,776.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,266.18 / $5,367.96 / $6,776.32	Professional		$3,266.18	$5,367.96	$6,776.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.79 / $879.57 / $5,608.17	Professional		$278.79	$879.57	$5,608.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,799.93 / $5,018.81 / $5,410.25	Facility		$3,799.93	$5,018.81	$5,410.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,575.08 / $3,575.08 / $3,690.28	Facility		$3,575.08	$3,575.08	$3,690.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,798.48 / $6,150.48 / $7,568.70	Professional		$3,798.48	$6,150.48	$7,568.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,646.10 / $5,308.51 / $7,150.41	Professional		$3,646.10	$5,308.51	$7,150.41
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 $3,335.18 / $5,787.78 / $7,736.55	Professional		$3,335.18	$5,787.78	$7,736.55