Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.65 / $3,124.71 / $20,680.40	Facility		$1,386.65	$3,124.71	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.51 / $1,386.65 / $2,841.65	Professional		$898.51	$1,386.65	$2,841.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,465.46 / $20,009.28	Facility		$55.00	$1,465.46	$20,009.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.19 / $2,675.99 / $9,580.43	Professional		$1,542.19	$2,675.99	$9,580.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.49 / $2,211.67 / $3,240.63	Professional		$1,378.49	$2,211.67	$3,240.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,207.85 / $2,157.36 / $2,717.41	Facility		$1,207.85	$2,157.36	$2,717.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,312.66 / $2,160.63 / $2,723.38	Professional		$1,312.66	$2,160.63	$2,723.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $308.75 / $2,397.88	Professional		$75.97	$308.75	$2,397.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,539.74 / $2,042.95 / $2,180.17	Facility		$1,539.74	$2,042.95	$2,180.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,465.46 / $1,465.46 / $1,487.08	Facility		$1,465.46	$1,465.46	$1,487.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,530.68 / $2,480.52 / $3,049.97	Professional		$1,530.68	$2,480.52	$3,049.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,494.57 / $2,139.17 / $2,881.42	Professional		$1,494.57	$2,139.17	$2,881.42
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 $1,344.75 / $2,152.10 / $3,123.39	Professional		$1,344.75	$2,152.10	$3,123.39