Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.30 / $1,395.40 / $20,680.40	Facility		$608.30	$1,395.40	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.57 / $608.30 / $1,268.99	Professional		$455.57	$608.30	$1,268.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $654.13 / $8,811.84	Facility		$55.00	$654.13	$8,811.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $669.18 / $1,131.14 / $4,206.83	Professional		$669.18	$1,131.14	$4,206.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.91 / $975.26 / $1,417.76	Professional		$652.91	$975.26	$1,417.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $462.83 / $1,053.76 / $1,201.20	Facility		$462.83	$1,053.76	$1,201.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.26 / $1,053.76 / $1,235.45	Professional		$601.26	$1,053.76	$1,235.45
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 $701.07 / $909.24 / $969.49	Facility		$701.07	$909.24	$969.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.13 / $654.13 / $655.80	Facility		$654.13	$654.13	$655.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.74 / $1,092.65 / $1,307.77	Professional		$677.74	$1,092.65	$1,307.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $667.13 / $943.37 / $1,270.69	Professional		$667.13	$943.37	$1,270.69
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 $630.08 / $959.43 / $1,396.19	Professional		$630.08	$959.43	$1,396.19