Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.60 / $2,575.92 / $20,680.40	Facility		$1,150.60	$2,575.92	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.10 / $1,150.60 / $2,342.58	Professional		$762.10	$1,150.60	$2,342.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,190.48 / $8,381.44	Facility		$55.00	$1,190.48	$8,381.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.60 / $2,198.67 / $7,642.28	Professional		$1,261.60	$2,198.67	$7,642.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.58 / $1,837.14 / $2,705.95	Professional		$1,119.58	$1,837.14	$2,705.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,059.03 / $1,882.10 / $2,285.77	Facility		$1,059.03	$1,882.10	$2,285.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,101.74 / $1,882.10 / $2,285.77	Professional		$1,101.74	$1,882.10	$2,285.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $1,078.01 / $2,094.67	Professional		$100.46	$1,078.01	$2,094.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,303.49 / $1,737.98 / $1,796.94	Facility		$1,303.49	$1,737.98	$1,796.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.48 / $1,190.48 / $1,225.67	Facility		$1,190.48	$1,190.48	$1,225.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.60 / $2,015.62 / $2,513.84	Professional		$1,261.60	$2,015.62	$2,513.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,214.14 / $1,761.85 / $2,374.91	Professional		$1,214.14	$1,761.85	$2,374.91
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 $1,130.00 / $1,787.78 / $2,557.61	Professional		$1,130.00	$1,787.78	$2,557.61