Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.69 / $8,369.76 / $20,680.40	Facility		$1,258.69	$8,369.76	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.69 / $1,258.69 / $2,425.30	Professional		$855.69	$1,258.69	$2,425.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $971.33 / $1,457.00 / $2,913.99	Facility		$971.33	$1,457.00	$2,913.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.53 / $2,258.53 / $15,307.50	Professional		$1,333.53	$2,258.53	$15,307.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.83 / $2,016.44 / $2,950.43	Professional		$1,257.83	$2,016.44	$2,950.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $958.83 / $2,114.82 / $2,568.41	Facility		$958.83	$2,114.82	$2,568.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.97 / $2,158.58 / $2,720.90	Professional		$1,237.97	$2,158.58	$2,720.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $433.49 / $951.43 / $1,125.96	Professional		$433.49	$951.43	$1,125.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,283.92 / $1,894.09 / $1,955.06	Facility		$1,283.92	$1,894.09	$1,955.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,295.58 / $1,295.58 / $1,333.53	Facility		$1,295.58	$1,295.58	$1,333.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,400.41 / $2,206.61 / $2,646.92	Professional		$1,400.41	$2,206.61	$2,646.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,228.41 / $1,457.00 / $2,673.75	Facility		$1,228.41	$1,457.00	$2,673.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,321.32 / $1,920.09 / $2,620.94	Professional		$1,321.32	$1,920.09	$2,620.94
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 $1,243.88 / $1,897.47 / $3,004.40	Professional		$1,243.88	$1,897.47	$3,004.40