Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,082.27 / $7,920.26 / $20,680.40	Facility		$4,082.27	$7,920.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,856.98 / $4,082.27 / $8,226.58	Professional		$2,856.98	$4,082.27	$8,226.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,448.01 / $60,413.12	Facility		$55.00	$4,448.01	$60,413.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,685.18 / $8,206.65 / $30,150.53	Professional		$4,685.18	$8,206.65	$30,150.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,075.60 / $6,711.14 / $9,827.00	Professional		$4,075.60	$6,711.14	$9,827.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,933.54 / $6,589.98 / $8,318.95	Facility		$3,933.54	$6,589.98	$8,318.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,009.73 / $6,589.98 / $8,327.95	Professional		$4,009.73	$6,589.98	$8,327.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $349.37 / $1,127.84 / $6,954.55	Professional		$349.37	$1,127.84	$6,954.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,621.78 / $6,197.07 / $6,673.20	Facility		$4,621.78	$6,197.07	$6,673.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,448.01 / $4,448.01 / $4,551.72	Facility		$4,448.01	$4,448.01	$4,551.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,685.18 / $7,592.51 / $9,335.51	Professional		$4,685.18	$7,592.51	$9,335.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,536.38 / $6,547.70 / $8,819.58	Professional		$4,536.38	$6,547.70	$8,819.58
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 $4,100.92 / $6,995.31 / $10,064.87	Professional		$4,100.92	$6,995.31	$10,064.87