Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,455.32 / $7,195.76 / $20,680.40	Facility		$3,455.32	$7,195.76	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,484.01 / $3,455.32 / $7,251.74	Professional		$2,484.01	$3,455.32	$7,251.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,820.15 / $52,221.12	Facility		$55.00	$3,820.15	$52,221.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,060.02 / $7,107.29 / $26,196.00	Professional		$4,060.02	$7,107.29	$26,196.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,534.30 / $5,768.07 / $8,480.81	Professional		$3,534.30	$5,768.07	$8,480.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,381.68 / $5,715.31 / $7,214.81	Facility		$3,381.68	$5,715.31	$7,214.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,477.53 / $5,715.31 / $7,214.81	Professional		$3,477.53	$5,715.31	$7,214.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $972.15 / $6,042.74	Professional		$309.03	$972.15	$6,042.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,095.91 / $5,370.99 / $5,782.77	Facility		$4,095.91	$5,370.99	$5,782.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,820.15 / $3,820.15 / $3,944.37	Facility		$3,820.15	$3,820.15	$3,944.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,060.02 / $6,567.26 / $8,089.84	Professional		$4,060.02	$6,567.26	$8,089.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,896.05 / $5,674.02 / $7,642.75	Professional		$3,896.05	$5,674.02	$7,642.75
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 $3,622.09 / $6,037.78 / $8,267.58	Professional		$3,622.09	$6,037.78	$8,267.58