Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.41 / $6,334.55 / $20,680.40	Facility		$3,548.41	$6,334.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,050.59 / $3,548.41 / $6,561.55	Professional		$2,050.59	$3,548.41	$6,561.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,823.32 / $38,960.64	Facility		$55.00	$3,823.32	$38,960.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,968.46 / $7,068.28 / $25,781.10	Professional		$3,968.46	$7,068.28	$25,781.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,478.61 / $5,637.49 / $8,464.78	Professional		$3,478.61	$5,637.49	$8,464.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,753.56 / $5,300.94 / $7,099.47	Facility		$2,753.56	$5,300.94	$7,099.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,059.13 / $5,336.37 / $7,138.01	Professional		$3,059.13	$5,336.37	$7,138.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $1,043.95 / $5,997.85	Professional		$319.58	$1,043.95	$5,997.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,470.96 / $4,810.80 / $5,722.47	Facility		$3,470.96	$4,810.80	$5,722.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,823.32 / $3,823.32 / $3,903.24	Facility		$3,823.32	$3,823.32	$3,903.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,017.69 / $6,510.80 / $8,005.48	Professional		$4,017.69	$6,510.80	$8,005.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,899.28 / $5,614.85 / $7,563.06	Professional		$3,899.28	$5,614.85	$7,563.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,446.00 / $5,793.00	Facility		$1,120.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,414.59 / $5,499.95 / $8,222.19	Professional		$3,414.59	$5,499.95	$8,222.19