Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.86 / $2,246.23 / $20,680.40	Facility		$1,069.86	$2,246.23	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.69 / $1,069.86 / $2,042.75	Professional		$702.69	$1,069.86	$2,042.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,065.91 / $11,946.35	Facility		$55.00	$1,065.91	$11,946.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.34 / $1,962.12 / $7,019.18	Professional		$1,130.34	$1,962.12	$7,019.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.29 / $1,622.20 / $2,380.04	Professional		$1,025.29	$1,622.20	$2,380.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $972.52 / $1,649.36 / $2,026.03	Facility		$972.52	$1,649.36	$2,026.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.54 / $1,649.36 / $2,026.03	Professional		$976.54	$1,649.36	$2,026.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $271.04 / $1,703.60	Professional		$73.20	$271.04	$1,703.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,132.88 / $1,525.31 / $1,600.63	Facility		$1,132.88	$1,525.31	$1,600.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.91 / $1,065.91 / $1,091.77	Facility		$1,065.91	$1,065.91	$1,091.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,145.44 / $1,821.13 / $2,239.21	Professional		$1,145.44	$1,821.13	$2,239.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,087.08 / $1,570.53 / $2,115.46	Professional		$1,087.08	$1,570.53	$2,115.46
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 $1,012.88 / $1,672.49 / $2,290.15	Professional		$1,012.88	$1,672.49	$2,290.15