Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.61 / $3,273.62 / $20,680.40	Facility		$1,461.61	$3,273.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.76 / $1,461.61 / $2,977.08	Professional		$993.76	$1,461.61	$2,977.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,515.74 / $10,655.20	Facility		$55.00	$1,515.74	$10,655.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.06 / $2,655.34 / $11,088.82	Professional		$1,604.06	$2,655.34	$11,088.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.81 / $2,336.17 / $3,437.08	Professional		$1,429.81	$2,336.17	$3,437.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,350.54 / $2,404.10 / $2,919.73	Facility		$1,350.54	$2,404.10	$2,919.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.31 / $2,404.10 / $2,919.73	Professional		$1,407.31	$2,404.10	$2,919.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $1,409.04 / $2,697.51	Professional		$150.40	$1,409.04	$2,697.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,628.60 / $2,179.51 / $2,284.69	Facility		$1,628.60	$2,179.51	$2,284.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,515.74 / $1,515.74 / $1,558.37	Facility		$1,515.74	$1,515.74	$1,558.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,604.06 / $2,599.44 / $3,196.19	Professional		$1,604.06	$2,599.44	$3,196.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,545.85 / $2,241.73 / $3,019.56	Professional		$1,545.85	$2,241.73	$3,019.56
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 $1,441.58 / $2,376.90 / $3,279.87	Professional		$1,441.58	$2,376.90	$3,279.87