Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.33 / $2,104.75 / $20,680.40	Facility		$949.33	$2,104.75	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.99 / $949.33 / $1,914.09	Professional		$666.99	$949.33	$1,914.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $934.54 / $6,598.08	Facility		$55.00	$934.54	$6,598.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.50 / $1,768.38 / $6,020.18	Professional		$1,055.50	$1,768.38	$6,020.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.58 / $1,511.76 / $2,132.44	Professional		$909.58	$1,511.76	$2,132.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $876.17 / $1,529.02 / $1,856.97	Facility		$876.17	$1,529.02	$1,856.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.05 / $1,529.02 / $1,877.06	Professional		$895.05	$1,529.02	$1,877.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $830.14 / $1,597.29	Professional		$100.41	$830.14	$1,597.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,059.27 / $1,380.23 / $1,431.79	Facility		$1,059.27	$1,380.23	$1,431.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $934.54 / $934.54 / $964.73	Facility		$934.54	$934.54	$964.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.66 / $1,660.09 / $1,978.64	Professional		$1,032.66	$1,660.09	$1,978.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $953.11 / $1,387.77 / $1,869.29	Professional		$953.11	$1,387.77	$1,869.29
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 $914.68 / $1,383.84 / $2,133.55	Professional		$914.68	$1,383.84	$2,133.55