Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,165.46 / $6,585.65 / $20,680.40	Facility		$3,165.46	$6,585.65	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,275.04 / $3,165.46 / $6,636.77	Professional		$2,275.04	$3,165.46	$6,636.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,499.88 / $47,823.36	Facility		$55.00	$3,499.88	$47,823.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,718.04 / $6,486.90 / $23,989.20	Professional		$3,718.04	$6,486.90	$23,989.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,237.95 / $5,282.82 / $7,766.79	Professional		$3,237.95	$5,282.82	$7,766.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,094.68 / $5,236.13 / $6,609.91	Facility		$3,094.68	$5,236.13	$6,609.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,185.97 / $5,236.13 / $6,609.91	Professional		$3,185.97	$5,236.13	$6,609.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.79 / $879.36 / $5,553.20	Professional		$278.79	$879.36	$5,553.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,722.41 / $4,919.17 / $5,295.68	Facility		$3,722.41	$4,919.17	$5,295.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,499.88 / $3,499.88 / $3,612.13	Facility		$3,499.88	$3,499.88	$3,612.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,718.04 / $6,015.47 / $7,408.42	Professional		$3,718.04	$6,015.47	$7,408.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,569.41 / $5,196.09 / $6,998.99	Professional		$3,569.41	$5,196.09	$6,998.99
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 $3,312.77 / $5,814.83 / $7,562.89	Professional		$3,312.77	$5,814.83	$7,562.89