Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.22 / $2,513.82 / $20,680.40	Facility		$1,197.22	$2,513.82	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.70 / $1,197.22 / $2,286.11	Professional		$794.70	$1,197.22	$2,286.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,201.35 / $13,393.90	Facility		$55.00	$1,201.35	$13,393.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.51 / $2,200.35 / $7,877.10	Professional		$1,284.51	$2,200.35	$7,877.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.78 / $1,817.61 / $2,666.82	Professional		$1,148.78	$1,817.61	$2,666.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,092.65 / $1,868.43 / $2,269.92	Facility		$1,092.65	$1,868.43	$2,269.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.09 / $1,868.43 / $2,269.92	Professional		$1,094.09	$1,868.43	$2,269.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $327.15 / $1,881.67	Professional		$73.20	$327.15	$1,881.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,283.31 / $1,707.87 / $1,795.60	Facility		$1,283.31	$1,707.87	$1,795.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,201.35 / $1,201.35 / $1,224.76	Facility		$1,201.35	$1,201.35	$1,224.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,284.51 / $2,042.96 / $2,511.96	Professional		$1,284.51	$2,042.96	$2,511.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,225.22 / $1,761.83 / $2,373.14	Professional		$1,225.22	$1,761.83	$2,373.14
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 $1,143.11 / $1,740.66 / $2,568.23	Professional		$1,143.11	$1,740.66	$2,568.23