Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.22 / $2,681.83 / $20,680.40	Facility		$1,251.22	$2,681.83	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.63 / $1,251.22 / $2,681.83	Professional		$991.63	$1,251.22	$2,681.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,362.17 / $12,663.20	Facility		$55.00	$1,362.17	$12,663.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.23 / $2,335.71 / $10,151.00	Professional		$1,389.23	$2,335.71	$10,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,991.10 / $2,962.59	Professional		$1,265.08	$1,991.10	$2,962.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $960.07 / $2,127.87 / $2,584.26	Facility		$960.07	$2,127.87	$2,584.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,245.60 / $2,168.61 / $2,753.76	Professional		$1,245.60	$2,168.61	$2,753.76
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 $1,523.90 / $1,898.38 / $2,047.52	Facility		$1,523.90	$1,898.38	$2,047.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,362.17 / $1,362.17 / $1,374.66	Facility		$1,362.17	$1,362.17	$1,374.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,446.29 / $2,278.90 / $2,728.56	Professional		$1,446.29	$2,278.90	$2,728.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,389.23 / $1,977.46 / $2,663.58	Professional		$1,389.23	$1,977.46	$2,663.58
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 $1,280.10 / $1,994.59 / $2,947.23	Professional		$1,280.10	$1,994.59	$2,947.23