Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,114.43 / $5,883.77 / $20,680.40	Facility		$3,114.43	$5,883.77	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,234.75 / $3,114.43 / $5,962.78	Professional		$2,234.75	$3,114.43	$5,962.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,434.19 / $35,248.19	Facility		$55.00	$3,434.19	$35,248.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,652.19 / $6,224.15 / $23,553.08	Professional		$3,652.19	$6,224.15	$23,553.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,186.96 / $5,189.62 / $7,634.90	Professional		$3,186.96	$5,189.62	$7,634.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,052.04 / $5,153.13 / $6,505.13	Facility		$3,052.04	$5,153.13	$6,505.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,135.46 / $5,153.13 / $6,505.13	Professional		$3,135.46	$5,153.13	$6,505.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $873.40 / $5,426.10	Professional		$279.66	$873.40	$5,426.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,561.66 / $4,651.81 / $5,201.88	Facility		$3,561.66	$4,651.81	$5,201.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.19 / $3,434.19 / $3,548.15	Facility		$3,434.19	$3,434.19	$3,548.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,652.19 / $5,908.73 / $7,277.20	Professional		$3,652.19	$5,908.73	$7,277.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,502.42 / $5,104.06 / $6,875.02	Professional		$3,502.42	$5,104.06	$6,875.02
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 $3,253.37 / $5,427.88 / $7,432.43	Professional		$3,253.37	$5,427.88	$7,432.43