Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,097.45 / $5,863.82 / $20,680.40	Facility		$3,097.45	$5,863.82	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.42 / $3,097.45 / $5,925.84	Professional		$1,892.42	$3,097.45	$5,925.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,423.32 / $46,807.68	Facility		$55.00	$3,423.32	$46,807.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,574.69 / $6,345.45 / $23,480.03	Professional		$3,574.69	$6,345.45	$23,480.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,167.20 / $5,063.09 / $7,602.31	Professional		$3,167.20	$5,063.09	$7,602.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,625.23 / $4,713.46 / $6,351.50	Facility		$2,625.23	$4,713.46	$6,351.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,916.56 / $4,728.74 / $6,465.51	Professional		$2,916.56	$4,728.74	$6,465.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.79 / $872.75 / $5,392.16	Professional		$278.79	$872.75	$5,392.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,290.24 / $4,549.97 / $5,183.12	Facility		$3,290.24	$4,549.97	$5,183.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,423.32 / $3,423.32 / $3,535.35	Facility		$3,423.32	$3,423.32	$3,535.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,639.01 / $5,884.40 / $7,250.95	Professional		$3,639.01	$5,884.40	$7,250.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,491.33 / $5,085.64 / $6,850.23	Professional		$3,491.33	$5,085.64	$6,850.23
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 $3,092.46 / $4,933.21 / $7,406.36	Professional		$3,092.46	$4,933.21	$7,406.36