Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.75 / $3,271.68 / $20,680.40	Facility		$1,452.75	$3,271.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.70 / $1,452.75 / $2,975.31	Professional		$999.70	$1,452.75	$2,975.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,506.23 / $10,586.56	Facility		$55.00	$1,506.23	$10,586.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,617.23 / $2,770.29 / $9,647.33	Professional		$1,617.23	$2,770.29	$9,647.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.95 / $2,321.01 / $3,415.03	Professional		$1,419.95	$2,321.01	$3,415.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,341.11 / $2,387.42 / $2,899.48	Facility		$1,341.11	$2,387.42	$2,899.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,397.54 / $2,387.42 / $2,899.48	Professional		$1,397.54	$2,387.42	$2,899.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $1,368.44 / $2,675.65	Professional		$150.24	$1,368.44	$2,675.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,610.63 / $2,164.77 / $2,269.96	Facility		$1,610.63	$2,164.77	$2,269.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,506.23 / $1,506.23 / $1,548.32	Facility		$1,506.23	$1,506.23	$1,548.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,593.72 / $2,582.67 / $3,175.57	Professional		$1,593.72	$2,582.67	$3,175.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,536.15 / $2,227.28 / $3,000.07	Professional		$1,536.15	$2,227.28	$3,000.07
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 $1,448.48 / $2,361.38 / $3,259.08	Professional		$1,448.48	$2,361.38	$3,259.08