Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,430.51 / $10,122.46 / $20,680.40	Facility		$5,430.51	$10,122.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,910.12 / $5,430.51 / $11,450.40	Professional		$3,910.12	$5,430.51	$11,450.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,021.28 / $82,115.20	Facility		$55.00	$6,021.28	$82,115.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,473.52 / $11,160.58 / $41,292.53	Professional		$6,473.52	$11,160.58	$41,292.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,499.63 / $9,071.36 / $13,325.50	Professional		$5,499.63	$9,071.36	$13,325.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,336.56 / $8,893.82 / $11,227.25	Facility		$5,336.56	$8,893.82	$11,227.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,411.52 / $8,963.95 / $11,227.25	Professional		$5,411.52	$8,963.95	$11,227.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $476.37 / $1,528.29 / $9,523.23	Professional		$476.37	$1,528.29	$9,523.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,475.35 / $8,435.99 / $9,103.95	Facility		$6,475.35	$8,435.99	$9,103.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,021.28 / $6,021.28 / $6,209.72	Facility		$6,021.28	$6,021.28	$6,209.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,391.80 / $10,358.12 / $12,736.03	Professional		$6,391.80	$10,358.12	$12,736.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,140.90 / $8,932.76 / $12,032.17	Professional		$6,140.90	$8,932.76	$12,032.17
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 $5,769.31 / $9,258.36 / $13,081.57	Professional		$5,769.31	$9,258.36	$13,081.57