Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.27 / $2,421.48 / $20,680.40	Facility		$1,155.27	$2,421.48	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.74 / $1,155.27 / $2,421.48	Professional		$917.74	$1,155.27	$2,421.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,257.08 / $11,688.16	Facility		$55.00	$1,257.08	$11,688.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.05 / $2,148.62 / $10,151.00	Professional		$1,282.05	$2,148.62	$10,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.38 / $1,838.02 / $2,735.05	Professional		$1,167.38	$1,838.02	$2,735.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $885.98 / $1,963.30 / $2,384.39	Facility		$885.98	$1,963.30	$2,384.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,149.27 / $2,003.53 / $2,542.14	Professional		$1,149.27	$2,003.53	$2,542.14
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 $1,392.58 / $1,751.90 / $1,887.39	Facility		$1,392.58	$1,751.90	$1,887.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,257.08 / $1,257.08 / $1,268.63	Facility		$1,257.08	$1,257.08	$1,268.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,334.74 / $2,103.13 / $2,518.11	Professional		$1,334.74	$2,103.13	$2,518.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,282.05 / $1,824.94 / $2,458.15	Professional		$1,282.05	$1,824.94	$2,458.15
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 $1,152.90 / $1,633.88 / $2,668.64	Professional		$1,152.90	$1,633.88	$2,668.64