Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.33 / $2,246.17 / $20,680.40	Facility		$1,060.33	$2,246.17	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.41 / $1,060.33 / $2,042.70	Professional		$725.41	$1,060.33	$2,042.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,065.00 / $14,587.84	Facility		$55.00	$1,065.00	$14,587.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.84 / $1,949.71 / $9,420.83	Professional		$1,143.84	$1,949.71	$9,420.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.96 / $1,609.74 / $2,359.41	Professional		$1,017.96	$1,609.74	$2,359.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $967.19 / $1,655.90 / $2,011.06	Facility		$967.19	$1,655.90	$2,011.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.32 / $1,655.90 / $2,011.06	Professional		$969.32	$1,655.90	$2,011.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $946.66 / $1,811.25	Professional		$100.45	$946.66	$1,811.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.65 / $1,510.75 / $1,595.42	Facility		$1,120.65	$1,510.75	$1,595.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $1,065.00 / $1,084.00	Facility		$1,065.00	$1,065.00	$1,084.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.20 / $1,808.18 / $2,223.28	Professional		$1,138.20	$1,808.18	$2,223.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,086.16 / $1,559.35 / $2,100.41	Professional		$1,086.16	$1,559.35	$2,100.41
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 $1,013.32 / $1,381.80 / $2,275.67	Professional		$1,013.32	$1,381.80	$2,275.67