Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.36 / $2,496.87 / $20,680.40	Facility		$1,116.36	$2,496.87	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.88 / $1,116.36 / $2,496.87	Professional		$892.88	$1,116.36	$2,496.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,214.49 / $11,295.02	Facility		$55.00	$1,214.49	$11,295.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.08 / $2,118.90 / $7,902.53	Professional		$1,262.08	$2,118.90	$7,902.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.32 / $1,775.18 / $2,642.58	Professional		$1,130.32	$1,775.18	$2,642.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $903.34 / $1,900.95 / $2,308.67	Facility		$903.34	$1,900.95	$2,308.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.77 / $1,934.68 / $2,460.54	Professional		$1,112.77	$1,934.68	$2,460.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,027.41 / $2,006.55	Professional		$57.35	$1,027.41	$2,006.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,373.07 / $1,693.38 / $1,898.78	Facility		$1,373.07	$1,693.38	$1,898.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.49 / $1,214.49 / $1,226.13	Facility		$1,214.49	$1,214.49	$1,226.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.83 / $2,032.36 / $2,433.75	Professional		$1,289.83	$2,032.36	$2,433.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.61 / $1,763.81 / $2,375.80	Professional		$1,238.61	$1,763.81	$2,375.80
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 $1,168.64 / $1,641.43 / $2,589.60	Professional		$1,168.64	$1,641.43	$2,589.60