Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.95 / $1,905.79 / $20,680.40	Facility		$914.95	$1,905.79	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.84 / $914.95 / $1,905.79	Professional		$668.84	$914.95	$1,905.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $984.82 / $17,373.72	Facility		$55.00	$984.82	$17,373.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.63 / $1,699.86 / $6,320.63	Professional		$1,005.63	$1,699.86	$6,320.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.69 / $1,465.00 / $2,129.12	Professional		$981.69	$1,465.00	$2,129.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $695.33 / $1,552.22 / $1,937.36	Facility		$695.33	$1,552.22	$1,937.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.64 / $1,570.79 / $1,996.54	Professional		$908.64	$1,570.79	$1,996.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $1,077.39 / $1,746.47	Professional		$174.43	$1,077.39	$1,746.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,052.82 / $1,366.81 / $1,459.26	Facility		$1,052.82	$1,366.81	$1,459.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $984.82 / $984.82 / $985.29	Facility		$984.82	$984.82	$985.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.09 / $1,642.02 / $1,965.29	Professional		$1,042.09	$1,642.02	$1,965.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,004.39 / $1,417.35 / $1,909.14	Professional		$1,004.39	$1,417.35	$1,909.14
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 $949.08 / $1,337.34 / $2,103.07	Professional		$949.08	$1,337.34	$2,103.07