Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,417.38 / $8,532.76 / $20,680.40	Facility		$4,417.38	$8,532.76	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,178.42 / $4,417.38 / $9,295.26	Professional		$3,178.42	$4,417.38	$9,295.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,894.21 / $66,794.08	Facility		$55.00	$4,894.21	$66,794.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,222.22 / $9,074.37 / $33,570.53	Professional		$5,222.22	$9,074.37	$33,570.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,533.76 / $7,378.30 / $10,840.82	Professional		$4,533.76	$7,378.30	$10,840.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,343.95 / $7,331.42 / $9,254.93	Facility		$4,343.95	$7,331.42	$9,254.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,460.85 / $7,345.34 / $9,254.93	Professional		$4,460.85	$7,345.34	$9,254.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $377.85 / $1,215.10 / $7,697.53	Professional		$377.85	$1,215.10	$7,697.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,262.11 / $6,863.77 / $7,403.50	Facility		$5,262.11	$6,863.77	$7,403.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,894.21 / $4,894.21 / $5,049.85	Facility		$4,894.21	$4,894.21	$5,049.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,197.92 / $8,423.42 / $10,357.17	Professional		$5,197.92	$8,423.42	$10,357.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,991.45 / $7,264.27 / $9,784.78	Professional		$4,991.45	$7,264.27	$9,784.78
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 $4,574.93 / $7,427.72 / $10,591.55	Professional		$4,574.93	$7,427.72	$10,591.55