Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.35 / $2,281.27 / $20,680.40	Facility		$1,251.35	$2,281.27	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.20 / $1,251.35 / $2,281.27	Professional		$892.20	$1,251.35	$2,281.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,325.03 / $18,048.32	Facility		$55.00	$1,325.03	$18,048.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.27 / $2,317.23 / $8,580.37	Professional		$1,378.27	$2,317.23	$8,580.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.81 / $1,956.07 / $2,916.43	Professional		$1,305.81	$1,956.07	$2,916.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.41 / $2,062.71 / $2,507.66	Facility		$933.41	$2,062.71	$2,507.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.69 / $2,062.71 / $2,699.96	Professional		$1,208.69	$2,062.71	$2,699.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $289.98 / $2,115.62	Professional		$78.89	$289.98	$2,115.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,387.20 / $1,781.05 / $1,963.10	Facility		$1,387.20	$1,781.05	$1,963.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,325.03 / $1,325.03 / $1,339.01	Facility		$1,325.03	$1,325.03	$1,339.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.55 / $2,222.59 / $2,660.15	Professional		$1,410.55	$2,222.59	$2,660.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,351.35 / $1,926.18 / $2,594.52	Professional		$1,351.35	$1,926.18	$2,594.52
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 $1,235.50 / $1,719.60 / $2,820.24	Professional		$1,235.50	$1,719.60	$2,820.24