Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.08 / $2,692.71 / $20,680.40	Facility		$1,157.08	$2,692.71	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.56 / $1,157.08 / $2,692.71	Professional		$932.56	$1,157.08	$2,692.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,257.98 / $11,704.66	Facility		$55.00	$1,257.98	$11,704.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.97 / $2,151.71 / $10,574.00	Professional		$1,282.97	$2,151.71	$10,574.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.24 / $1,839.40 / $2,738.93	Professional		$1,168.24	$1,839.40	$2,738.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,026.09 / $1,964.75 / $2,386.15	Facility		$1,026.09	$1,964.75	$2,386.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.11 / $2,004.93 / $2,543.92	Professional		$1,150.11	$2,004.93	$2,543.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,046.96 / $2,057.80	Professional		$57.35	$1,046.96	$2,057.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,527.37 / $1,754.33 / $2,047.52	Facility		$1,527.37	$1,754.33	$2,047.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,257.98 / $1,257.98 / $1,270.46	Facility		$1,257.98	$1,257.98	$1,270.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.70 / $2,104.65 / $2,521.73	Professional		$1,335.70	$2,104.65	$2,521.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,282.97 / $1,827.57 / $2,461.69	Professional		$1,282.97	$1,827.57	$2,461.69
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 $1,209.11 / $1,787.00 / $2,679.29	Professional		$1,209.11	$1,787.00	$2,679.29