Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.58 / $7,920.26 / $22,024.00	Facility		$1,335.58	$7,920.26	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.36 / $1,335.58 / $2,266.76	Professional		$963.36	$1,335.58	$2,266.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,430.12 / $13,279.20	Facility		$55.00	$1,430.12	$13,279.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.98 / $2,467.86 / $9,205.95	Professional		$1,459.98	$2,467.86	$9,205.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.91 / $2,102.44 / $3,111.85	Professional		$1,331.91	$2,102.44	$3,111.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,284.65 / $2,239.98 / $2,754.57	Facility		$1,284.65	$2,239.98	$2,754.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,378.79 / $2,239.98 / $2,754.57	Professional		$1,378.79	$2,239.98	$2,754.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $259.53 / $1,613.84 / $2,476.60	Professional		$259.53	$1,613.84	$2,476.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,379.82 / $1,992.28 / $2,105.14	Facility		$1,379.82	$1,992.28	$2,105.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,430.12 / $1,430.12 / $1,435.89	Facility		$1,430.12	$1,430.12	$1,435.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,478.00 / $2,383.90 / $2,853.22	Professional		$1,478.00	$2,383.90	$2,853.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,458.53 / $2,065.55 / $2,782.24	Professional		$1,458.53	$2,065.55	$2,782.24
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 $1,370.12 / $1,891.81 / $3,026.90	Professional		$1,370.12	$1,891.81	$3,026.90