Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.48 / $1,733.00 / $20,680.40	Facility		$819.48	$1,733.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.95 / $819.48 / $1,678.54	Professional		$590.95	$819.48	$1,678.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $865.23 / $2,917.14	Facility		$55.00	$865.23	$2,917.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $890.06 / $1,511.96 / $5,610.83	Professional		$890.06	$1,511.96	$5,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.45 / $1,306.42 / $1,908.05	Professional		$839.45	$1,306.42	$1,908.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $618.45 / $1,365.90 / $1,658.86	Facility		$618.45	$1,365.90	$1,658.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.56 / $1,369.54 / $1,779.05	Professional		$799.56	$1,369.54	$1,779.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $1,025.36 / $1,668.20	Professional		$166.64	$1,025.36	$1,668.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $948.46 / $1,225.88 / $1,292.00	Facility		$948.46	$1,225.88	$1,292.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $865.23 / $865.23 / $875.61	Facility		$865.23	$865.23	$875.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.34 / $1,453.32 / $1,739.44	Professional		$922.34	$1,453.32	$1,739.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $882.42 / $1,259.58 / $1,696.62	Professional		$882.42	$1,259.58	$1,696.62
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 $826.32 / $1,234.33 / $1,859.21	Professional		$826.32	$1,234.33	$1,859.21