Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.39 / $2,751.39 / $20,680.40	Facility		$1,282.39	$2,751.39	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.39 / $1,282.39 / $2,751.39	Professional		$818.39	$1,282.39	$2,751.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,359.00 / $18,563.20	Facility		$55.00	$1,359.00	$18,563.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.00 / $2,345.81 / $10,227.00	Professional		$1,386.00	$2,345.81	$10,227.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.63 / $2,003.19 / $2,998.54	Professional		$1,345.63	$2,003.19	$2,998.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $976.81 / $2,127.87 / $2,584.26	Facility		$976.81	$2,127.87	$2,584.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,245.60 / $2,171.90 / $2,779.77	Professional		$1,245.60	$2,171.90	$2,779.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $289.55 / $2,175.08	Professional		$78.89	$289.55	$2,175.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,505.99 / $1,921.20 / $2,085.71	Facility		$1,505.99	$1,921.20	$2,085.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $1,359.00 / $1,380.60	Facility		$1,359.00	$1,359.00	$1,380.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,450.63 / $2,285.73 / $2,740.35	Professional		$1,450.63	$2,285.73	$2,740.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,386.00 / $1,986.00 / $2,675.10	Professional		$1,386.00	$1,986.00	$2,675.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.14 / $1,770.59 / $2,900.36	Professional		$1,277.14	$1,770.59	$2,900.36