Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.70 / $2,045.60 / $20,680.40	Facility		$986.70	$2,045.60	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.41 / $986.70 / $1,860.30	Professional		$618.41	$986.70	$1,860.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $983.92 / $13,508.32	Facility		$55.00	$983.92	$13,508.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.17 / $1,806.08 / $6,436.28	Professional		$1,039.17	$1,806.08	$6,436.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.44 / $1,492.48 / $2,190.21	Professional		$926.44	$1,492.48	$2,190.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $880.68 / $1,450.10 / $1,830.55	Facility		$880.68	$1,450.10	$1,830.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.32 / $1,461.53 / $1,834.19	Professional		$882.32	$1,461.53	$1,834.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.96 / $265.92 / $1,567.27	Professional		$70.96	$265.92	$1,567.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,020.67 / $1,383.55 / $1,468.64	Facility		$1,020.67	$1,383.55	$1,468.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $983.92 / $983.92 / $1,001.74	Facility		$983.92	$983.92	$1,001.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.17 / $1,670.96 / $2,054.56	Professional		$1,039.17	$1,670.96	$2,054.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,003.46 / $1,441.02 / $1,941.02	Professional		$1,003.46	$1,441.02	$1,941.02
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 $882.00 / $1,447.32 / $2,100.94	Professional		$882.00	$1,447.32	$2,100.94