Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.21 / $1,733.00 / $20,680.40	Facility		$587.21	$1,733.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.35 / $587.21 / $1,570.35	Professional		$568.35	$587.21	$1,570.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $605.07 / $5,589.10	Facility		$55.00	$605.07	$5,589.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $641.72 / $1,050.45 / $3,880.80	Professional		$641.72	$1,050.45	$3,880.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.14 / $1,066.06 / $1,370.02	Professional		$778.14	$1,066.06	$1,370.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.07 / $1,268.91 / $1,633.27	Facility		$588.07	$1,268.91	$1,633.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.04 / $1,268.91 / $1,633.27	Professional		$766.04	$1,268.91	$1,633.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $662.05 / $1,070.55	Professional		$107.46	$662.05	$1,070.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $727.96 / $887.08 / $1,217.39	Facility		$727.96	$887.08	$1,217.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $605.07 / $605.07 / $629.22	Facility		$605.07	$605.07	$629.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.80 / $1,009.71 / $1,208.50	Professional		$640.80	$1,009.71	$1,208.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $641.72 / $878.61 / $1,172.40	Professional		$641.72	$878.61	$1,172.40
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 $759.36 / $1,036.20 / $1,576.21	Professional		$759.36	$1,036.20	$1,576.21