Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.74 / $2,122.69 / $20,680.40	Facility		$1,023.74	$2,122.69	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.96 / $1,023.74 / $2,122.69	Professional		$716.96	$1,023.74	$2,122.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,101.70 / $19,437.81	Facility		$55.00	$1,101.70	$19,437.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.85 / $1,903.08 / $7,070.18	Professional		$1,125.85	$1,903.08	$7,070.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.31 / $1,640.10 / $2,382.02	Professional		$1,068.31	$1,640.10	$2,382.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $778.72 / $1,577.40 / $2,249.52	Facility		$778.72	$1,577.40	$2,249.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.71 / $1,672.60 / $2,249.52	Professional		$1,017.71	$1,672.60	$2,249.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.91 / $1,227.67 / $1,972.85	Professional		$200.91	$1,227.67	$1,972.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,170.07 / $1,529.24 / $1,647.64	Facility		$1,170.07	$1,529.24	$1,647.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.70 / $1,101.70 / $1,102.28	Facility		$1,101.70	$1,101.70	$1,102.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.69 / $1,838.33 / $2,200.25	Professional		$1,166.69	$1,838.33	$2,200.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,123.58 / $1,585.65 / $2,135.83	Professional		$1,123.58	$1,585.65	$2,135.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,446.00 / $5,793.00	Facility		$1,120.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.16 / $1,617.37 / $2,332.64	Professional		$1,062.16	$1,617.37	$2,332.64