Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.54 / $1,452.31 / $20,680.40	Facility		$633.54	$1,452.31	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.73 / $633.54 / $1,320.76	Professional		$503.73	$633.54	$1,320.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $680.86 / $9,163.20	Facility		$55.00	$680.86	$9,163.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $697.14 / $1,178.40 / $4,372.72	Professional		$697.14	$1,178.40	$4,372.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.61 / $1,015.84 / $1,474.21	Professional		$679.61	$1,015.84	$1,474.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $496.31 / $1,096.68 / $1,416.74	Facility		$496.31	$1,096.68	$1,416.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.96 / $1,096.68 / $1,425.17	Professional		$628.96	$1,096.68	$1,425.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.78 / $770.48 / $1,247.52	Professional		$124.78	$770.48	$1,247.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $729.66 / $946.52 / $1,018.64	Facility		$729.66	$946.52	$1,018.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $681.84	Facility		$680.86	$680.86	$681.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.42 / $1,138.31 / $1,362.41	Professional		$722.42	$1,138.31	$1,362.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $694.39 / $980.84 / $1,321.17	Professional		$694.39	$980.84	$1,321.17
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 $655.61 / $928.59 / $1,444.38	Professional		$655.61	$928.59	$1,444.38