Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.14 / $2,655.81 / $20,680.40	Facility		$1,203.14	$2,655.81	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.29 / $1,139.42 / $2,391.05	Professional		$832.29	$1,139.42	$2,391.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,264.78 / $8,574.16	Facility		$55.00	$1,264.78	$8,574.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.12 / $2,304.08 / $12,818.24	Professional		$1,328.12	$2,304.08	$12,818.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.44 / $1,896.21 / $2,773.14	Professional		$1,157.44	$1,896.21	$2,773.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,129.14 / $1,872.09 / $2,363.26	Facility		$1,129.14	$1,872.09	$2,363.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.08 / $1,886.85 / $2,363.26	Professional		$1,139.08	$1,886.85	$2,363.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $1,116.64 / $2,214.84	Professional		$100.41	$1,116.64	$2,214.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,341.62 / $1,785.71 / $1,879.52	Facility		$1,341.62	$1,785.71	$1,879.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,264.78 / $1,264.78 / $1,274.11	Facility		$1,264.78	$1,264.78	$1,274.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,334.10 / $2,125.29 / $2,613.19	Professional		$1,334.10	$2,125.29	$2,613.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,289.90 / $1,832.84 / $2,468.77	Professional		$1,289.90	$1,832.84	$2,468.77
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 $1,178.64 / $1,957.36 / $2,705.67	Professional		$1,178.64	$1,957.36	$2,705.67