Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.91 / $1,356.44 / $20,680.40	Facility		$576.91	$1,356.44	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.06 / $576.91 / $1,233.56	Professional		$461.06	$576.91	$1,233.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $620.16 / $10,954.02	Facility		$55.00	$620.16	$10,954.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $633.76 / $1,071.27 / $3,983.55	Professional		$633.76	$1,071.27	$3,983.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.54 / $923.76 / $1,342.75	Professional		$618.54	$923.76	$1,342.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $444.23 / $998.26 / $1,267.93	Facility		$444.23	$998.26	$1,267.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.51 / $998.26 / $1,275.82	Professional		$572.51	$998.26	$1,275.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $720.97 / $1,164.50	Professional		$116.25	$720.97	$1,164.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $666.67 / $862.19 / $930.92	Facility		$666.67	$862.19	$930.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.16 / $620.16 / $621.05	Facility		$620.16	$620.16	$621.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.74 / $1,034.82 / $1,238.55	Professional		$656.74	$1,034.82	$1,238.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $632.48 / $893.41 / $1,203.39	Professional		$632.48	$893.41	$1,203.39
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 $597.09 / $889.86 / $1,313.09	Professional		$597.09	$889.86	$1,313.09