Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,590.64 / $10,122.46 / $20,680.40	Facility		$5,590.64	$10,122.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,023.26 / $5,590.64 / $11,785.20	Professional		$4,023.26	$5,590.64	$11,785.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,201.12 / $84,546.56	Facility		$55.00	$6,201.12	$84,546.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,581.37 / $11,532.85 / $42,518.33	Professional		$6,581.37	$11,532.85	$42,518.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,640.84 / $9,341.01 / $13,719.43	Professional		$5,640.84	$9,341.01	$13,719.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,495.23 / $9,122.60 / $11,516.05	Facility		$5,495.23	$9,122.60	$11,516.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,550.72 / $9,122.60 / $11,516.05	Professional		$5,550.72	$9,122.60	$11,516.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $497.61 / $1,568.58 / $9,841.52	Professional		$497.61	$1,568.58	$9,841.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,617.30 / $8,684.45 / $9,373.96	Facility		$6,617.30	$8,684.45	$9,373.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,201.12 / $6,201.12 / $6,393.89	Facility		$6,201.12	$6,201.12	$6,393.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,581.37 / $10,665.34 / $13,113.76	Professional		$6,581.37	$10,665.34	$13,113.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,324.32 / $9,197.68 / $12,389.03	Professional		$6,324.32	$9,197.68	$12,389.03
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 $5,797.68 / $9,797.39 / $13,665.95	Professional		$5,797.68	$9,797.39	$13,665.95