Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,656.66 / $6,888.73 / $20,680.40	Facility		$3,656.66	$6,888.73	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,357.81 / $3,656.66 / $6,920.73	Professional		$2,357.81	$3,656.66	$6,920.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,723.18 / $38,137.80	Facility		$55.00	$3,723.18	$38,137.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,920.99 / $6,790.10 / $23,427.68	Professional		$3,920.99	$6,790.10	$23,427.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,220.95 / $5,691.64 / $8,303.68	Professional		$3,220.95	$5,691.64	$8,303.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,169.41 / $5,384.63 / $6,812.14	Facility		$3,169.41	$5,384.63	$6,812.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,169.41 / $5,384.63 / $6,993.77	Professional		$3,169.41	$5,384.63	$6,993.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.41 / $963.05 / $5,823.59	Professional		$293.41	$963.05	$5,823.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,701.58 / $5,118.80 / $5,462.44	Facility		$3,701.58	$5,118.80	$5,462.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,723.18 / $3,723.18 / $3,844.61	Facility		$3,723.18	$3,723.18	$3,844.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,845.99 / $6,217.31 / $7,636.18	Professional		$3,845.99	$6,217.31	$7,636.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,920.99 / $5,355.83 / $7,214.17	Professional		$3,920.99	$5,355.83	$7,214.17
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 $3,370.84 / $5,761.37 / $7,889.10	Professional		$3,370.84	$5,761.37	$7,889.10