Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.17 / $2,770.55 / $20,680.40	Facility		$1,314.17	$2,770.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.94 / $1,314.17 / $2,519.58	Professional		$874.94	$1,314.17	$2,519.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,320.04 / $18,085.75	Facility		$55.00	$1,320.04	$18,085.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.55 / $2,424.42 / $8,643.90	Professional		$1,410.55	$2,424.42	$8,643.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.41 / $1,994.52 / $2,924.51	Professional		$1,264.41	$1,994.52	$2,924.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,200.35 / $2,032.32 / $2,497.96	Facility		$1,200.35	$2,032.32	$2,497.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,204.02 / $2,032.32 / $2,497.96	Professional		$1,204.02	$2,032.32	$2,497.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $344.36 / $2,124.48	Professional		$104.96	$344.36	$2,124.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,413.92 / $1,874.43 / $1,970.47	Facility		$1,413.92	$1,874.43	$1,970.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,320.04 / $1,320.04 / $1,344.04	Facility		$1,320.04	$1,320.04	$1,344.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.55 / $2,241.92 / $2,756.60	Professional		$1,410.55	$2,241.92	$2,756.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,346.27 / $1,933.41 / $2,604.26	Professional		$1,346.27	$1,933.41	$2,604.26
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 $1,257.96 / $2,059.61 / $2,963.37	Professional		$1,257.96	$2,059.61	$2,963.37