Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.37 / $2,842.44 / $20,680.40	Facility		$1,340.37	$2,842.44	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.57 / $1,340.37 / $2,842.44	Professional		$1,067.57	$1,340.37	$2,842.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,460.93 / $11,113.29	Facility		$55.00	$1,460.93	$11,113.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.95 / $2,506.54 / $9,728.00	Professional		$1,489.95	$2,506.54	$9,728.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.29 / $2,134.10 / $3,176.25	Professional		$1,361.29	$2,134.10	$3,176.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.31 / $2,289.55 / $2,780.61	Facility		$1,023.31	$2,289.55	$2,780.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.25 / $2,321.06 / $2,960.00	Professional		$1,340.25	$2,321.06	$2,960.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.70 / $1,385.11 / $2,413.68	Professional		$132.70	$1,385.11	$2,413.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,671.30 / $2,035.69 / $2,175.32	Facility		$1,671.30	$2,035.69	$2,175.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,460.93 / $1,460.93 / $1,475.20	Facility		$1,460.93	$1,460.93	$1,475.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,551.56 / $2,444.77 / $2,928.12	Professional		$1,551.56	$2,444.77	$2,928.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,489.95 / $2,122.09 / $2,858.39	Professional		$1,489.95	$2,122.09	$2,858.39
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 $1,407.62 / $1,949.38 / $3,102.17	Professional		$1,407.62	$1,949.38	$3,102.17