Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.51 / $1,409.70 / $20,680.40	Facility		$588.51	$1,409.70	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.99 / $588.51 / $1,282.00	Professional		$457.99	$588.51	$1,282.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $633.29 / $5,940.44	Facility		$55.00	$633.29	$5,940.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $661.85 / $1,107.45 / $5,098.60	Professional		$661.85	$1,107.45	$5,098.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.50 / $950.42 / $1,395.04	Professional		$618.50	$950.42	$1,395.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $470.27 / $978.02 / $1,194.82	Facility		$470.27	$978.02	$1,194.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.51 / $998.26 / $1,275.09	Professional		$572.51	$998.26	$1,275.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.96 / $613.18 / $1,056.94	Professional		$65.96	$613.18	$1,056.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $715.05 / $893.75 / $970.83	Facility		$715.05	$893.75	$970.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.29 / $633.29 / $643.00	Facility		$633.29	$633.29	$643.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.13 / $1,062.22 / $1,276.29	Professional		$674.13	$1,062.22	$1,276.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.88 / $924.96 / $1,245.90	Professional		$645.88	$924.96	$1,245.90
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 $601.04 / $841.59 / $1,347.85	Professional		$601.04	$841.59	$1,347.85