Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.23 / $2,391.01 / $20,680.40	Facility		$1,168.23	$2,391.01	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.12 / $1,168.23 / $2,391.01	Professional		$853.12	$1,168.23	$2,391.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,236.69 / $16,884.16	Facility		$55.00	$1,236.69	$16,884.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.26 / $2,163.44 / $8,079.53	Professional		$1,261.26	$2,163.44	$8,079.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.81 / $1,822.85 / $2,726.98	Professional		$1,225.81	$1,822.85	$2,726.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $875.13 / $1,937.92 / $2,329.60	Facility		$875.13	$1,937.92	$2,329.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.42 / $1,978.02 / $2,353.57	Professional		$1,134.42	$1,978.02	$2,353.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $1,084.24 / $2,023.98	Professional		$98.25	$1,084.24	$2,023.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,339.17 / $1,747.05 / $1,841.16	Facility		$1,339.17	$1,747.05	$1,841.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,236.69 / $1,236.69 / $1,255.83	Facility		$1,236.69	$1,236.69	$1,255.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.66 / $2,079.54 / $2,492.71	Professional		$1,292.66	$2,079.54	$2,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,261.26 / $1,806.54 / $2,433.35	Professional		$1,261.26	$1,806.54	$2,433.35
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 $1,161.72 / $1,614.60 / $2,638.72	Professional		$1,161.72	$1,614.60	$2,638.72