Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.48 / $2,540.71 / $20,680.40	Facility		$1,205.48	$2,540.71	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.79 / $1,205.48 / $2,793.80	Professional		$952.79	$1,205.48	$2,793.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,312.79 / $12,204.72	Facility		$55.00	$1,312.79	$12,204.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.88 / $2,251.07 / $10,151.00	Professional		$1,338.88	$2,251.07	$10,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.98 / $1,918.95 / $2,855.64	Professional		$1,217.98	$1,918.95	$2,855.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $924.73 / $2,048.12 / $2,487.41	Facility		$924.73	$2,048.12	$2,487.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,198.93 / $2,089.92 / $2,651.54	Professional		$1,198.93	$2,089.92	$2,651.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,092.94 / $2,139.80	Professional		$57.35	$1,092.94	$2,139.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,459.35 / $1,830.01 / $1,970.47	Facility		$1,459.35	$1,830.01	$1,970.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.79 / $1,312.79 / $1,324.84	Facility		$1,312.79	$1,312.79	$1,324.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.17 / $2,195.19 / $2,629.68	Professional		$1,393.17	$2,195.19	$2,629.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,338.88 / $1,905.80 / $2,567.06	Professional		$1,338.88	$1,905.80	$2,567.06
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 $1,233.24 / $1,905.14 / $2,839.32	Professional		$1,233.24	$1,905.14	$2,839.32