Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.69 / $2,122.16 / $20,680.40	Facility		$1,024.69	$2,122.16	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.55 / $1,024.69 / $2,122.16	Professional		$775.55	$1,024.69	$2,122.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,099.43 / $3,655.88	Facility		$55.00	$1,099.43	$3,655.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.27 / $1,869.04 / $10,057.00	Professional		$1,121.27	$1,869.04	$10,057.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.17 / $1,636.92 / $2,377.13	Professional		$1,065.17	$1,636.92	$2,377.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.55 / $1,733.47 / $2,105.27	Facility		$776.55	$1,733.47	$2,105.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,014.74 / $1,754.84 / $2,235.87	Professional		$1,014.74	$1,754.84	$2,235.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.10 / $1,227.67 / $1,993.13	Professional		$198.10	$1,227.67	$1,993.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,189.72 / $1,526.14 / $1,632.79	Facility		$1,189.72	$1,526.14	$1,632.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,099.43 / $1,099.43 / $1,100.00	Facility		$1,099.43	$1,099.43	$1,100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.27 / $1,834.53 / $2,195.69	Professional		$1,164.27	$1,834.53	$2,195.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,121.27 / $1,582.36 / $2,131.40	Professional		$1,121.27	$1,582.36	$2,131.40
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 $1,047.50 / $1,578.20 / $2,391.82	Professional		$1,047.50	$1,578.20	$2,391.82