Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.83 / $2,739.89 / $20,680.40	Facility		$1,274.83	$2,739.89	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.75 / $1,274.83 / $2,739.89	Professional		$853.75	$1,274.83	$2,739.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,387.54 / $10,567.44	Facility		$55.00	$1,387.54	$10,567.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.11 / $2,382.30 / $9,728.00	Professional		$1,415.11	$2,382.30	$9,728.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.08 / $2,028.70 / $3,022.27	Professional		$1,289.08	$2,028.70	$3,022.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $979.29 / $2,063.51 / $2,632.69	Facility		$979.29	$2,063.51	$2,632.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.95 / $2,085.52 / $2,806.67	Professional		$1,268.95	$2,085.52	$2,806.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,167.76 / $2,257.18	Professional		$57.35	$1,167.76	$2,257.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,512.12 / $1,935.79 / $2,091.07	Facility		$1,512.12	$1,935.79	$2,091.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,387.54 / $1,387.54 / $1,402.08	Facility		$1,387.54	$1,387.54	$1,402.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.81 / $2,322.27 / $2,782.98	Professional		$1,473.81	$2,322.27	$2,782.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,415.11 / $2,016.91 / $2,716.71	Professional		$1,415.11	$2,016.91	$2,716.71
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 $1,294.99 / $1,817.99 / $2,946.72	Professional		$1,294.99	$1,817.99	$2,946.72