Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,057.47 / $6,307.38 / $20,680.40	Facility		$3,057.47	$6,307.38	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,125.77 / $3,057.47 / $6,330.55	Professional		$2,125.77	$3,057.47	$6,330.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,283.80 / $34,188.24	Facility		$55.00	$3,283.80	$34,188.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,501.35 / $6,070.62 / $20,988.53	Professional		$3,501.35	$6,070.62	$20,988.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,981.64 / $5,076.26 / $7,382.08	Professional		$2,981.64	$5,076.26	$7,382.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,934.30 / $5,012.64 / $6,087.77	Facility		$2,934.30	$5,012.64	$6,087.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,934.30 / $5,012.64 / $6,238.31	Professional		$2,934.30	$5,012.64	$6,238.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $867.27 / $5,224.60	Professional		$266.06	$867.27	$5,224.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,625.51 / $4,696.03 / $4,897.70	Facility		$3,625.51	$4,696.03	$4,897.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.80 / $3,283.80 / $3,340.67	Facility		$3,283.80	$3,283.80	$3,340.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,501.35 / $5,572.41 / $6,851.66	Professional		$3,501.35	$5,572.41	$6,851.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,349.04 / $4,805.59 / $6,473.00	Professional		$3,349.04	$4,805.59	$6,473.00
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 $3,083.97 / $4,881.72 / $7,061.67	Professional		$3,083.97	$4,881.72	$7,061.67