Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,876.74 / $7,920.26 / $20,680.40	Facility		$3,876.74	$7,920.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,786.30 / $3,876.74 / $8,120.27	Professional		$2,786.30	$3,876.74	$8,120.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,283.57 / $43,940.16	Facility		$55.00	$4,283.57	$43,940.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,553.93 / $7,943.60 / $29,376.45	Professional		$4,553.93	$7,943.60	$29,376.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,952.59 / $6,470.98 / $9,516.06	Professional		$3,952.59	$6,470.98	$9,516.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,787.58 / $6,391.89 / $8,068.90	Facility		$3,787.58	$6,391.89	$8,068.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,889.20 / $6,391.89 / $8,068.90	Professional		$3,889.20	$6,391.89	$8,068.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.25 / $1,045.09 / $6,807.06	Professional		$320.25	$1,045.09	$6,807.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,564.76 / $6,026.50 / $6,486.27	Facility		$4,564.76	$6,026.50	$6,486.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,283.57 / $4,283.57 / $4,424.22	Facility		$4,283.57	$4,283.57	$4,424.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,553.93 / $7,362.36 / $9,074.00	Professional		$4,553.93	$7,362.36	$9,074.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,368.67 / $6,364.29 / $8,572.53	Professional		$4,368.67	$6,364.29	$8,572.53
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 $3,969.33 / $6,771.09 / $9,742.26	Professional		$3,969.33	$6,771.09	$9,742.26