Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.02 / $2,007.88 / $20,680.40	Facility		$951.02	$2,007.88	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.94 / $951.02 / $1,826.00	Professional		$650.94	$951.02	$1,826.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $953.11 / $13,077.12	Facility		$55.00	$953.11	$13,077.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $999.60 / $1,663.62 / $7,761.84	Professional		$999.60	$1,663.62	$7,761.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.44 / $1,443.79 / $2,116.31	Professional		$909.44	$1,443.79	$2,116.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $865.51 / $1,479.72 / $1,797.10	Facility		$865.51	$1,479.72	$1,797.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.20 / $1,479.72 / $1,797.10	Professional		$866.20	$1,479.72	$1,797.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $586.24 / $1,640.35	Professional		$51.61	$586.24	$1,640.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,058.00 / $1,356.34 / $1,430.72	Facility		$1,058.00	$1,356.34	$1,430.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.11 / $953.11 / $971.13	Facility		$953.11	$953.11	$971.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.88 / $1,619.89 / $1,991.76	Professional		$1,019.88	$1,619.89	$1,991.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $972.05 / $1,396.98 / $1,881.69	Professional		$972.05	$1,396.98	$1,881.69
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 $906.08 / $1,489.18 / $2,142.63	Professional		$906.08	$1,489.18	$2,142.63