Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.07 / $2,519.35 / $20,680.40	Facility		$1,208.07	$2,519.35	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.07 / $1,208.07 / $2,519.35	Professional		$883.07	$1,208.07	$2,519.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,299.20 / $22,934.94	Facility		$55.00	$1,299.20	$22,934.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.63 / $2,244.16 / $8,342.62	Professional		$1,327.63	$2,244.16	$8,342.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.13 / $1,934.04 / $2,810.64	Professional		$1,296.13	$1,934.04	$2,810.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $918.22 / $2,049.57 / $2,557.55	Facility		$918.22	$2,049.57	$2,557.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.77 / $2,073.78 / $2,635.36	Professional		$1,199.77	$2,073.78	$2,635.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.17 / $1,435.38 / $2,329.05	Professional		$233.17	$1,435.38	$2,329.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,411.20 / $1,803.92 / $1,925.58	Facility		$1,411.20	$1,803.92	$1,925.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.20 / $1,299.20 / $1,300.61	Facility		$1,299.20	$1,299.20	$1,300.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,375.78 / $2,167.80 / $2,594.58	Professional		$1,375.78	$2,167.80	$2,594.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,325.02 / $1,870.96 / $2,520.13	Professional		$1,325.02	$1,870.96	$2,520.13
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 $1,252.68 / $1,907.49 / $2,750.72	Professional		$1,252.68	$1,907.49	$2,750.72