Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,048.94 / $6,279.42 / $20,680.40	Facility		$3,048.94	$6,279.42	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,190.90 / $3,048.94 / $6,325.89	Professional		$2,190.90	$3,048.94	$6,325.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,368.96 / $34,547.16	Facility		$55.00	$3,368.96	$34,547.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,546.76 / $6,247.01 / $23,099.70	Professional		$3,546.76	$6,247.01	$23,099.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,116.79 / $5,088.39 / $7,481.58	Professional		$3,116.79	$5,088.39	$7,481.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,979.47 / $4,984.70 / $6,362.49	Facility		$2,979.47	$4,984.70	$6,362.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,066.71 / $4,984.70 / $6,362.49	Professional		$3,066.71	$4,984.70	$6,362.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $873.25 / $5,381.67	Professional		$279.66	$873.25	$5,381.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,585.82 / $4,738.21 / $5,100.04	Facility		$3,585.82	$4,738.21	$5,100.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,368.96 / $3,368.96 / $3,478.68	Facility		$3,368.96	$3,368.96	$3,478.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,580.68 / $5,790.99 / $7,134.73	Professional		$3,580.68	$5,790.99	$7,134.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,435.89 / $5,004.13 / $6,740.43	Professional		$3,435.89	$5,004.13	$6,740.43
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 $3,143.42 / $5,324.92 / $7,661.51	Professional		$3,143.42	$5,324.92	$7,661.51