Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.96 / $2,754.25 / $20,680.40	Facility		$1,212.96	$2,754.25	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.10 / $1,212.96 / $2,504.76	Professional		$827.10	$1,212.96	$2,504.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,256.17 / $8,841.04	Facility		$55.00	$1,256.17	$8,841.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.76 / $2,319.02 / $8,058.15	Professional		$1,330.76	$2,319.02	$8,058.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.23 / $1,937.33 / $2,853.41	Professional		$1,182.23	$1,937.33	$2,853.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,118.07 / $1,987.95 / $2,414.33	Facility		$1,118.07	$1,987.95	$2,414.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.70 / $1,987.95 / $2,414.33	Professional		$1,163.70	$1,987.95	$2,414.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.22 / $2,122.61	Professional		$73.20	$287.22	$2,122.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,349.33 / $1,802.97 / $1,895.43	Facility		$1,349.33	$1,802.97	$1,895.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.17 / $1,256.17 / $1,292.84	Facility		$1,256.17	$1,256.17	$1,292.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,330.76 / $2,156.55 / $2,651.62	Professional		$1,330.76	$2,156.55	$2,651.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,281.13 / $1,858.29 / $2,505.08	Professional		$1,281.13	$1,858.29	$2,505.08
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 $1,206.05 / $1,970.06 / $2,697.61	Professional		$1,206.05	$1,970.06	$2,697.61