Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.05 / $1,449.95 / $20,680.40	Facility		$620.05	$1,449.95	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.60 / $620.05 / $1,318.60	Professional		$484.60	$620.05	$1,318.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $666.36 / $8,959.84	Facility		$55.00	$666.36	$8,959.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $679.60 / $1,129.27 / $5,668.00	Professional		$679.60	$1,129.27	$5,668.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.78 / $993.13 / $1,441.09	Professional		$680.78	$993.13	$1,441.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $483.29 / $1,069.99 / $1,307.54	Facility		$483.29	$1,069.99	$1,307.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.23 / $1,069.99 / $1,374.10	Professional		$630.23	$1,069.99	$1,374.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.78 / $773.94 / $1,253.99	Professional		$124.78	$773.94	$1,253.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $926.14 / $1,005.00	Facility		$749.00	$926.14	$1,005.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.36 / $666.36 / $666.76	Facility		$666.36	$666.36	$666.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.48 / $1,113.20 / $1,332.35	Professional		$706.48	$1,113.20	$1,332.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $679.60 / $959.15 / $1,291.94	Professional		$679.60	$959.15	$1,291.94
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 $639.41 / $832.71 / $1,412.53	Professional		$639.41	$832.71	$1,412.53