Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.02 / $2,572.88 / $20,680.40	Facility		$1,220.02	$2,572.88	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.46 / $1,220.02 / $2,339.81	Professional		$810.46	$1,220.02	$2,339.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,226.72 / $16,786.56	Facility		$55.00	$1,226.72	$16,786.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.97 / $2,250.96 / $8,019.98	Professional		$1,292.97	$2,250.96	$8,019.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.09 / $1,853.61 / $2,715.34	Professional		$1,162.09	$1,853.61	$2,715.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,106.83 / $1,890.80 / $2,296.34	Facility		$1,106.83	$1,890.80	$2,296.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.83 / $1,890.80 / $2,296.34	Professional		$1,106.83	$1,890.80	$2,296.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $340.36 / $1,894.02	Professional		$104.96	$340.36	$1,894.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,360.73 / $1,740.46 / $1,828.43	Facility		$1,360.73	$1,740.46	$1,828.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.72 / $1,226.72 / $1,247.15	Facility		$1,226.72	$1,226.72	$1,247.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.61 / $2,080.32 / $2,557.89	Professional		$1,309.61	$2,080.32	$2,557.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,251.09 / $1,794.05 / $2,416.53	Professional		$1,251.09	$1,794.05	$2,416.53
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 $1,158.96 / $1,815.35 / $2,618.44	Professional		$1,158.96	$1,815.35	$2,618.44