Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,867.68 / $8,754.75 / $22,024.00	Facility		$4,867.68	$8,754.75	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,501.37 / $4,867.68 / $10,197.29	Professional		$3,501.37	$4,867.68	$10,197.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,392.97 / $73,577.28	Facility		$55.00	$5,392.97	$73,577.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,725.24 / $9,996.70 / $36,971.62	Professional		$5,725.24	$9,996.70	$36,971.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,973.58 / $8,129.06 / $11,942.22	Professional		$4,973.58	$8,129.06	$11,942.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,778.14 / $8,042.87 / $10,153.04	Facility		$4,778.14	$8,042.87	$10,153.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,893.75 / $8,042.87 / $10,153.04	Professional		$4,893.75	$8,042.87	$10,153.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $437.38 / $1,385.56 / $8,514.98	Professional		$437.38	$1,385.56	$8,514.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,713.71 / $7,561.69 / $8,154.57	Facility		$5,713.71	$7,561.69	$8,154.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,392.97 / $5,392.97 / $5,562.15	Facility		$5,392.97	$5,392.97	$5,562.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,725.24 / $9,277.95 / $11,407.88	Professional		$5,725.24	$9,277.95	$11,407.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,500.11 / $8,001.21 / $10,777.42	Professional		$5,500.11	$8,001.21	$10,777.42
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 $5,005.31 / $7,845.69 / $11,668.08	Professional		$5,005.31	$7,845.69	$11,668.08