Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.38 / $2,536.14 / $20,680.40	Facility		$1,238.38	$2,536.14	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.21 / $1,238.38 / $2,536.14	Professional		$890.21	$1,238.38	$2,536.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,311.89 / $17,912.48	Facility		$55.00	$1,311.89	$17,912.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.95 / $2,256.98 / $9,886.00	Professional		$1,337.95	$2,256.98	$9,886.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.55 / $1,933.08 / $2,892.47	Professional		$1,299.55	$1,933.08	$2,892.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $927.52 / $2,054.65 / $2,460.64	Facility		$927.52	$2,054.65	$2,460.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.74 / $2,067.50 / $2,495.33	Professional		$1,202.74	$2,067.50	$2,495.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $283.10 / $2,119.81	Professional		$78.85	$283.10	$2,119.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,416.59 / $1,853.06 / $1,969.28	Facility		$1,416.59	$1,853.06	$1,969.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,311.89 / $1,311.89 / $1,332.61	Facility		$1,311.89	$1,311.89	$1,332.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.69 / $2,206.61 / $2,645.10	Professional		$1,371.69	$2,206.61	$2,645.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,337.95 / $1,916.98 / $2,582.12	Professional		$1,337.95	$1,916.98	$2,582.12
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 $1,199.31 / $1,770.11 / $2,799.96	Professional		$1,199.31	$1,770.11	$2,799.96