Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,337.12 / $6,519.63 / $20,680.40	Facility		$3,337.12	$6,519.63	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,288.26 / $3,337.12 / $6,544.92	Professional		$2,288.26	$3,337.12	$6,544.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,422.87 / $17,793.41	Facility		$55.00	$3,422.87	$17,793.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,575.51 / $6,321.28 / $21,860.48	Professional		$3,575.51	$6,321.28	$21,860.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,065.96 / $5,306.99 / $7,758.86	Professional		$3,065.96	$5,306.99	$7,758.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,016.63 / $4,996.92 / $6,358.10	Facility		$3,016.63	$4,996.92	$6,358.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,016.63 / $4,996.92 / $6,521.28	Professional		$3,016.63	$4,996.92	$6,521.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.68 / $927.73 / $5,504.62	Professional		$179.68	$927.73	$5,504.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,560.17 / $4,796.53 / $5,092.67	Facility		$3,560.17	$4,796.53	$5,092.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,422.87 / $3,422.87 / $3,473.66	Facility		$3,422.87	$3,422.87	$3,473.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,619.42 / $5,795.01 / $7,124.42	Professional		$3,619.42	$5,795.01	$7,124.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,490.87 / $4,996.89 / $6,730.69	Professional		$3,490.87	$4,996.89	$6,730.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,446.00 / $5,793.00	Facility		$1,120.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,149.96 / $5,011.30 / $7,235.21	Professional		$3,149.96	$5,011.30	$7,235.21