Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.38 / $1,893.59 / $20,680.40	Facility		$876.38	$1,893.59	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.00 / $876.38 / $1,722.06	Professional		$581.00	$876.38	$1,722.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $918.23 / $6,296.08	Facility		$55.00	$918.23	$6,296.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $956.96 / $1,599.03 / $9,351.00	Professional		$956.96	$1,599.03	$9,351.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.43 / $1,391.76 / $2,041.02	Professional		$830.43	$1,391.76	$2,041.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $811.39 / $1,348.75 / $1,695.84	Facility		$811.39	$1,348.75	$1,695.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.39 / $1,353.97 / $1,709.85	Professional		$817.39	$1,353.97	$1,709.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $266.72 / $1,431.45	Professional		$73.20	$266.72	$1,431.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $940.90 / $1,285.76 / $1,369.48	Facility		$940.90	$1,285.76	$1,369.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.23 / $918.23 / $934.11	Facility		$918.23	$918.23	$934.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.50 / $1,558.14 / $1,915.84	Professional		$961.50	$1,558.14	$1,915.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $936.47 / $1,343.73 / $1,809.96	Professional		$936.47	$1,343.73	$1,809.96
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.72 / $1,352.90 / $1,959.97	Professional		$863.72	$1,352.90	$1,959.97