Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.64 / $2,810.11 / $20,680.40	Facility		$1,244.64	$2,810.11	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.57 / $1,244.64 / $2,810.11	Professional		$996.57	$1,244.64	$2,810.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,356.28 / $10,309.32	Facility		$55.00	$1,356.28	$10,309.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.23 / $2,324.84 / $10,574.00	Professional		$1,383.23	$2,324.84	$10,574.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.61 / $1,981.35 / $2,946.89	Professional		$1,346.61	$1,981.35	$2,946.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,017.73 / $2,195.46 / $2,749.80	Facility		$1,017.73	$2,195.46	$2,749.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.40 / $2,195.46 / $2,876.25	Professional		$1,325.40	$2,195.46	$2,876.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,142.90 / $2,237.05	Professional		$57.35	$1,142.90	$2,237.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,547.01 / $1,888.11 / $2,139.31	Facility		$1,547.01	$1,888.11	$2,139.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,356.28 / $1,356.28 / $1,368.26	Facility		$1,356.28	$1,356.28	$1,368.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,439.52 / $2,268.23 / $2,715.86	Professional		$1,439.52	$2,268.23	$2,715.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,383.23 / $1,968.26 / $2,651.19	Professional		$1,383.23	$1,968.26	$2,651.19
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 $1,305.48 / $1,987.89 / $2,937.33	Professional		$1,305.48	$1,987.89	$2,937.33