Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.35 / $2,146.07 / $20,680.40	Facility		$1,063.35	$2,146.07	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.02 / $1,063.35 / $2,146.07	Professional		$759.02	$1,063.35	$2,146.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.53 / $11,933.00 / $15,344.00	Facility		$1,122.53	$11,933.00	$15,344.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.83 / $1,932.71 / $8,627.02	Professional		$1,144.83	$1,932.71	$8,627.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.90 / $1,674.90 / $2,482.54	Professional		$1,103.90	$1,674.90	$2,482.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $791.12 / $1,745.07 / $2,119.36	Facility		$791.12	$1,745.07	$2,119.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.53 / $1,781.18 / $2,274.09	Professional		$1,021.53	$1,781.18	$2,274.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $993.53 / $1,881.37	Professional		$97.86	$993.53	$1,881.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,197.56 / $1,594.78 / $1,669.40	Facility		$1,197.56	$1,594.78	$1,669.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.53 / $1,122.53 / $1,137.47	Facility		$1,122.53	$1,122.53	$1,137.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.98 / $1,886.27 / $2,257.77	Professional		$1,190.98	$1,886.27	$2,257.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,144.83 / $1,636.27 / $2,204.01	Professional		$1,144.83	$1,636.27	$2,204.01
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 $1,061.48 / $1,499.79 / $2,393.46	Professional		$1,061.48	$1,499.79	$2,393.46