Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.88 / $2,665.16 / $20,680.40	Facility		$1,259.88	$2,665.16	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.62 / $1,259.88 / $2,423.73	Professional		$815.62	$1,259.88	$2,423.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,259.79 / $13,977.47	Facility		$55.00	$1,259.79	$13,977.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.64 / $2,315.33 / $8,220.53	Professional		$1,351.64	$2,315.33	$8,220.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.99 / $1,913.65 / $2,782.45	Professional		$1,201.99	$1,913.65	$2,782.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,142.26 / $1,931.59 / $2,374.69	Facility		$1,142.26	$1,931.59	$2,374.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.59 / $1,931.59 / $2,374.69	Professional		$1,144.59	$1,931.59	$2,374.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $343.04 / $2,048.43	Professional		$104.28	$343.04	$2,048.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,369.31 / $1,800.12 / $1,875.06	Facility		$1,369.31	$1,800.12	$1,875.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,259.79 / $1,259.79 / $1,278.23	Facility		$1,259.79	$1,259.79	$1,278.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,351.31 / $2,132.15 / $2,621.63	Professional		$1,351.31	$2,132.15	$2,621.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,284.82 / $1,838.74 / $2,476.73	Professional		$1,284.82	$1,838.74	$2,476.73
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 $1,191.70 / $2,021.71 / $2,702.43	Professional		$1,191.70	$2,021.71	$2,702.43