Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.47 / $5,128.00 / $20,680.40	Facility		$1,699.47	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.29 / $1,197.00 / $2,454.19	Professional		$819.29	$1,197.00	$2,454.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,240.31 / $8,722.08	Facility		$55.00	$1,240.31	$8,722.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.89 / $2,282.23 / $7,947.30	Professional		$1,312.89	$2,282.23	$7,947.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.20 / $1,912.31 / $2,814.01	Professional		$1,169.20	$1,912.31	$2,814.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,105.35 / $1,966.20 / $2,387.91	Facility		$1,105.35	$1,966.20	$2,387.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.97 / $1,966.20 / $2,387.91	Professional		$1,150.97	$1,966.20	$2,387.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $287.94 / $2,093.66	Professional		$75.97	$287.94	$2,093.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,329.37 / $1,784.21 / $1,869.97	Facility		$1,329.37	$1,784.21	$1,869.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.31 / $1,240.31 / $1,275.49	Facility		$1,240.31	$1,240.31	$1,275.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.89 / $2,127.58 / $2,616.00	Professional		$1,312.89	$2,127.58	$2,616.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,264.96 / $1,834.80 / $2,471.42	Professional		$1,264.96	$1,834.80	$2,471.42
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 $1,192.40 / $1,945.38 / $2,722.20	Professional		$1,192.40	$1,945.38	$2,722.20