Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,813.63 / $5,815.64 / $20,680.40	Facility		$2,813.63	$5,815.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,021.17 / $2,813.63 / $5,857.25	Professional		$2,021.17	$2,813.63	$5,857.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,105.32 / $31,878.96	Facility		$55.00	$3,105.32	$31,878.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,321.36 / $5,761.45 / $21,303.08	Professional		$3,321.36	$5,761.45	$21,303.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,871.98 / $4,695.10 / $6,905.25	Professional		$2,871.98	$4,695.10	$6,905.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,745.77 / $4,643.95 / $5,862.36	Facility		$2,745.77	$4,643.95	$5,862.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,825.65 / $4,643.95 / $5,862.36	Professional		$2,825.65	$4,643.95	$5,862.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.63 / $2,521.37 / $5,163.55	Professional		$400.63	$2,521.37	$5,163.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,289.27 / $4,373.18 / $4,704.74	Facility		$3,289.27	$4,373.18	$4,704.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,105.32 / $3,105.32 / $3,209.05	Facility		$3,105.32	$3,105.32	$3,209.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,303.15 / $5,338.10 / $6,581.72	Professional		$3,303.15	$5,338.10	$6,581.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,167.01 / $4,616.26 / $6,217.98	Professional		$3,167.01	$4,616.26	$6,217.98
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 $2,912.99 / $4,596.28 / $6,724.70	Professional		$2,912.99	$4,596.28	$6,724.70