Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.39 / $2,057.91 / $20,680.40	Facility		$1,015.39	$2,057.91	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.39 / $1,015.39 / $2,057.91	Professional		$735.39	$1,015.39	$2,057.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.33 / $11,933.00 / $14,728.96	Facility		$1,076.33	$11,933.00	$14,728.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.01 / $1,885.59 / $8,437.29	Professional		$1,110.01	$1,885.59	$8,437.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.29 / $1,623.92 / $2,379.63	Professional		$1,062.29	$1,623.92	$2,379.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.57 / $1,679.82 / $2,040.11	Facility		$758.57	$1,679.82	$2,040.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $983.33 / $1,714.58 / $2,156.69	Professional		$983.33	$1,714.58	$2,156.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $709.48 / $1,765.31	Professional		$52.56	$709.48	$1,765.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,221.57 / $1,524.62 / $1,605.99	Facility		$1,221.57	$1,524.62	$1,605.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,076.33 / $1,076.33 / $1,095.43	Facility		$1,076.33	$1,076.33	$1,095.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.29 / $1,812.46 / $2,174.32	Professional		$1,131.29	$1,812.46	$2,174.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,575.78 / $2,122.54	Professional		$1,097.71	$1,575.78	$2,122.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.76 / $1,353.16 / $2,299.81	Professional		$1,002.76	$1,353.16	$2,299.81