Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.09 / $2,689.00 / $20,680.40	Facility		$1,192.09	$2,689.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.48 / $1,192.09 / $2,445.41	Professional		$879.48	$1,192.09	$2,445.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,234.43 / $8,685.20	Facility		$55.00	$1,234.43	$8,685.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.61 / $2,279.17 / $7,916.33	Professional		$1,318.61	$2,279.17	$7,916.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.85 / $1,904.12 / $2,803.57	Professional		$1,160.85	$1,904.12	$2,803.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,098.39 / $1,951.70 / $2,370.30	Facility		$1,098.39	$1,951.70	$2,370.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.48 / $1,951.70 / $2,370.30	Professional		$1,142.48	$1,951.70	$2,370.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $286.02 / $2,096.92	Professional		$74.23	$286.02	$2,096.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.34 / $1,770.14 / $1,861.93	Facility		$1,326.34	$1,770.14	$1,861.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,234.43 / $1,234.43 / $1,270.00	Facility		$1,234.43	$1,234.43	$1,270.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.24 / $2,118.42 / $2,604.76	Professional		$1,307.24	$2,118.42	$2,604.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.95 / $1,826.36 / $2,460.80	Professional		$1,258.95	$1,826.36	$2,460.80
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 $1,184.04 / $1,983.43 / $2,651.26	Professional		$1,184.04	$1,983.43	$2,651.26