Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.73 / $2,785.84 / $20,680.40	Facility		$1,369.73	$2,785.84	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.80 / $1,369.73 / $2,785.84	Professional		$964.80	$1,369.73	$2,785.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,446.43 / $32,211.40	Facility		$55.00	$1,446.43	$32,211.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.57 / $2,539.35 / $10,431.70	Professional		$1,516.57	$2,539.35	$10,431.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.95 / $2,135.35 / $3,204.74	Professional		$1,427.95	$2,135.35	$3,204.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,063.30 / $2,222.61 / $2,741.87	Facility		$1,063.30	$2,222.61	$2,741.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,321.58 / $2,222.61 / $2,954.62	Professional		$1,321.58	$2,222.61	$2,954.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $307.98 / $2,325.64	Professional		$79.43	$307.98	$2,325.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,553.79 / $2,052.90 / $2,181.15	Facility		$1,553.79	$2,052.90	$2,181.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,446.43 / $1,446.43 / $1,473.37	Facility		$1,446.43	$1,446.43	$1,473.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.76 / $2,435.64 / $2,924.49	Professional		$1,545.76	$2,435.64	$2,924.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,475.17 / $2,119.46 / $2,854.85	Professional		$1,475.17	$2,119.46	$2,854.85
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 $1,347.62 / $1,880.40 / $3,102.66	Professional		$1,347.62	$1,880.40	$3,102.66