Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.18 / $2,742.01 / $20,680.40	Facility		$1,235.18	$2,742.01	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.37 / $1,235.18 / $2,493.62	Professional		$832.37	$1,235.18	$2,493.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,274.29 / $8,810.40	Facility		$55.00	$1,274.29	$8,810.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.06 / $2,355.54 / $8,029.58	Professional		$1,326.06	$2,355.54	$8,029.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,187.13 / $1,963.04 / $2,843.82	Professional		$1,187.13	$1,963.04	$2,843.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,129.96 / $1,995.92 / $2,424.01	Facility		$1,129.96	$1,995.92	$2,424.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,168.36 / $1,995.92 / $2,424.01	Professional		$1,168.36	$1,995.92	$2,424.01
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 $1,361.27 / $1,815.03 / $1,911.30	Facility		$1,361.27	$1,815.03	$1,911.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,274.29 / $1,274.29 / $1,288.28	Facility		$1,274.29	$1,274.29	$1,288.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,326.06 / $2,159.42 / $2,642.25	Professional		$1,326.06	$2,159.42	$2,642.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,299.60 / $1,853.21 / $2,496.21	Professional		$1,299.60	$1,853.21	$2,496.21
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 $1,191.73 / $1,938.30 / $2,741.30	Professional		$1,191.73	$1,938.30	$2,741.30