Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.85 / $2,185.32 / $20,680.40	Facility		$1,021.85	$2,185.32	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.44 / $1,021.85 / $2,185.32	Professional		$818.44	$1,021.85	$2,185.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,098.53 / $14,786.24	Facility		$55.00	$1,098.53	$14,786.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.58 / $1,897.57 / $7,058.85	Professional		$1,122.58	$1,897.57	$7,058.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.11 / $1,611.31 / $2,378.67	Professional		$1,097.11	$1,611.31	$2,378.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $777.48 / $1,770.82 / $2,142.40	Facility		$777.48	$1,770.82	$2,142.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.58 / $1,770.82 / $2,180.36	Professional		$1,015.58	$1,770.82	$2,180.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $1,278.10 / $2,069.20	Professional		$206.73	$1,278.10	$2,069.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,181.21 / $1,526.52 / $1,649.00	Facility		$1,181.21	$1,526.52	$1,649.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.53 / $1,098.53 / $1,100.46	Facility		$1,098.53	$1,098.53	$1,100.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.31 / $1,833.01 / $2,193.88	Professional		$1,163.31	$1,833.01	$2,193.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,120.34 / $1,583.02 / $2,132.28	Professional		$1,120.34	$1,583.02	$2,132.28
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 $1,059.08 / $1,506.84 / $2,346.83	Professional		$1,059.08	$1,506.84	$2,346.83