Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.72 / $2,820.91 / $20,680.40	Facility		$1,333.72	$2,820.91	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.19 / $1,333.72 / $2,565.38	Professional		$893.19	$1,333.72	$2,565.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,339.07 / $18,349.28	Facility		$55.00	$1,339.07	$18,349.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,417.52 / $2,460.12 / $8,770.58	Professional		$1,417.52	$2,460.12	$8,770.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.90 / $2,023.63 / $2,966.91	Professional		$1,282.90	$2,023.63	$2,966.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $2,087.27 / $2,534.94	Facility		$1,218.00	$2,087.27	$2,534.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.83 / $2,087.27 / $2,534.94	Professional		$1,221.83	$2,087.27	$2,534.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $344.51 / $2,168.98	Professional		$105.68	$344.51	$2,168.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,440.26 / $1,900.63 / $2,000.56	Facility		$1,440.26	$1,900.63	$2,000.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,339.07 / $1,339.07 / $1,363.69	Facility		$1,339.07	$1,339.07	$1,363.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,431.32 / $2,274.69 / $2,796.90	Professional		$1,431.32	$2,274.69	$2,796.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,365.67 / $1,961.68 / $2,642.33	Professional		$1,365.67	$1,961.68	$2,642.33
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 $1,276.44 / $2,030.70 / $3,006.99	Professional		$1,276.44	$2,030.70	$3,006.99