Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.30 / $2,933.82 / $20,680.40	Facility		$1,255.30	$2,933.82	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.42 / $1,255.30 / $2,668.06	Professional		$864.42	$1,255.30	$2,668.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,301.02 / $9,147.52	Facility		$55.00	$1,301.02	$9,147.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.33 / $2,390.61 / $8,336.62	Professional		$1,428.33	$2,390.61	$8,336.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.51 / $2,004.04 / $2,952.27	Professional		$1,223.51	$2,004.04	$2,952.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,204.44 / $2,057.55 / $2,498.85	Facility		$1,204.44	$2,057.55	$2,498.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,204.44 / $2,057.55 / $2,498.85	Professional		$1,204.44	$2,057.55	$2,498.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $292.74 / $2,204.52	Professional		$75.97	$292.74	$2,204.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,498.91 / $1,899.45 / $1,987.89	Facility		$1,498.91	$1,899.45	$1,987.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.02 / $1,301.02 / $1,337.64	Facility		$1,301.02	$1,301.02	$1,337.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.32 / $2,231.25 / $2,743.48	Professional		$1,410.32	$2,231.25	$2,743.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,326.86 / $1,922.14 / $2,591.86	Professional		$1,326.86	$1,922.14	$2,591.86
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 $1,247.40 / $1,953.88 / $2,790.30	Professional		$1,247.40	$1,953.88	$2,790.30