Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,219.10 / $8,806.29 / $20,680.40	Facility		$5,219.10	$8,806.29	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,290.67 / $5,219.10 / $9,662.43	Professional		$3,290.67	$5,219.10	$9,662.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,637.13 / $57,626.04	Facility		$55.00	$5,637.13	$57,626.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,781.96 / $10,411.96 / $38,251.28	Professional		$5,781.96	$10,411.96	$38,251.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,206.53 / $8,418.77 / $12,508.06	Professional		$5,206.53	$8,418.77	$12,508.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,164.37 / $7,938.98 / $10,482.93	Facility		$4,164.37	$7,938.98	$10,482.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,626.51 / $8,053.51 / $10,668.13	Professional		$4,626.51	$8,053.51	$10,668.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $435.89 / $1,395.20 / $8,913.71	Professional		$435.89	$1,395.20	$8,913.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,092.43 / $6,958.60 / $8,476.84	Facility		$5,092.43	$6,958.60	$8,476.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,637.13 / $5,637.13 / $5,781.96	Facility		$5,637.13	$5,637.13	$5,781.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,951.50 / $9,644.62 / $11,858.72	Professional		$5,951.50	$9,644.62	$11,858.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,749.13 / $8,317.42 / $11,203.35	Professional		$5,749.13	$8,317.42	$11,203.35
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 $5,097.53 / $8,875.10 / $12,152.75	Professional		$5,097.53	$8,875.10	$12,152.75