Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.70 / $2,452.01 / $20,680.40	Facility		$1,104.70	$2,452.01	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.29 / $1,104.70 / $2,229.89	Professional		$784.29	$1,104.70	$2,229.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,160.13 / $12,881.83	Facility		$55.00	$1,160.13	$12,881.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.63 / $2,021.24 / $11,002.00	Professional		$1,213.63	$2,021.24	$11,002.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.15 / $1,749.30 / $2,561.23	Professional		$1,115.15	$1,749.30	$2,561.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,052.94 / $1,814.67 / $2,203.89	Facility		$1,052.94	$1,814.67	$2,203.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,062.27 / $1,814.67 / $2,203.89	Professional		$1,062.27	$1,814.67	$2,203.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $703.18 / $1,959.36	Professional		$51.67	$703.18	$1,959.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,237.66 / $1,640.59 / $1,733.32	Facility		$1,237.66	$1,640.59	$1,733.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.13 / $1,160.13 / $1,179.06	Facility		$1,160.13	$1,160.13	$1,179.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.11 / $1,966.73 / $2,418.23	Professional		$1,239.11	$1,966.73	$2,418.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,183.18 / $1,696.09 / $2,284.59	Professional		$1,183.18	$1,696.09	$2,284.59
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 $1,109.24 / $1,764.71 / $2,477.48	Professional		$1,109.24	$1,764.71	$2,477.48