Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.70 / $4,500.00 / $22,024.00	Facility		$961.70	$4,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.82 / $961.70 / $1,992.80	Professional		$717.82	$961.70	$1,992.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,026.50 / $9,656.45	Facility		$55.00	$1,026.50	$9,656.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.08 / $1,793.59 / $6,696.00	Professional		$1,061.08	$1,793.59	$6,696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.53 / $1,517.50 / $2,262.91	Professional		$1,028.53	$1,517.50	$2,262.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,627.26 / $2,001.09	Facility		$933.25	$1,627.26	$2,001.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.64 / $1,627.26 / $2,001.09	Professional		$1,001.64	$1,627.26	$2,001.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.92 / $1,162.97 / $1,786.47	Professional		$187.92	$1,162.97	$1,786.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,002.63 / $1,447.75 / $1,530.95	Facility		$1,002.63	$1,447.75	$1,530.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.50 / $1,026.50 / $1,044.25	Facility		$1,026.50	$1,026.50	$1,044.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.85 / $1,732.57 / $2,073.66	Professional		$1,074.85	$1,732.57	$2,073.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,046.89 / $1,502.16 / $2,023.37	Professional		$1,046.89	$1,502.16	$2,023.37
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 $990.23 / $1,404.92 / $2,209.35	Professional		$990.23	$1,404.92	$2,209.35