Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.70 / $2,959.63 / $20,680.40	Facility		$1,317.70	$2,959.63	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.63 / $1,317.70 / $2,691.53	Professional		$904.63	$1,317.70	$2,691.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,365.80 / $9,603.68	Facility		$55.00	$1,365.80	$9,603.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.54 / $2,522.37 / $8,751.08	Professional		$1,445.54	$2,522.37	$8,751.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.54 / $2,106.48 / $3,098.88	Professional		$1,286.54	$2,106.48	$3,098.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,216.47 / $2,163.40 / $2,627.41	Facility		$1,216.47	$2,163.40	$2,627.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,266.40 / $2,163.40 / $2,627.41	Professional		$1,266.40	$2,163.40	$2,627.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,261.44 / $2,407.54	Professional		$150.54	$1,261.44	$2,407.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,528.57 / $1,997.94 / $2,058.91	Facility		$1,528.57	$1,997.94	$2,058.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.80 / $1,365.80 / $1,404.36	Facility		$1,365.80	$1,365.80	$1,404.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.54 / $2,342.55 / $2,880.32	Professional		$1,445.54	$2,342.55	$2,880.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,392.93 / $2,020.19 / $2,721.14	Professional		$1,392.93	$2,020.19	$2,721.14
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 $1,312.52 / $2,088.10 / $2,953.16	Professional		$1,312.52	$2,088.10	$2,953.16