Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,785.95 / $6,887.98 / $20,680.40	Facility		$3,785.95	$6,887.98	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,586.17 / $3,785.95 / $6,917.94	Professional		$2,586.17	$3,785.95	$6,917.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,592.74 / $41,937.72	Facility		$55.00	$3,592.74	$41,937.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,210.34 / $7,130.86 / $27,871.43	Professional		$4,210.34	$7,130.86	$27,871.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,547.40 / $5,644.46 / $9,087.31	Professional		$3,547.40	$5,644.46	$9,087.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,300.36 / $5,736.24 / $7,241.23	Facility		$3,300.36	$5,736.24	$7,241.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,490.26 / $5,736.24 / $7,241.23	Professional		$3,490.26	$5,736.24	$7,241.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.09 / $3,332.39 / $6,836.61	Professional		$512.09	$3,332.39	$6,836.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,931.56 / $5,242.08 / $6,172.71	Facility		$3,931.56	$5,242.08	$6,172.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,592.74 / $3,592.74 / $4,210.34	Facility		$3,592.74	$3,592.74	$4,210.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,210.34 / $6,310.91 / $8,496.03	Professional		$4,210.34	$6,310.91	$8,496.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,664.12 / $5,992.88 / $8,158.11	Professional		$3,664.12	$5,992.88	$8,158.11
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 $3,401.65 / $5,395.07 / $7,715.33	Professional		$3,401.65	$5,395.07	$7,715.33