Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.56 / $5,128.00 / $20,680.40	Facility		$1,618.56	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.97 / $1,140.39 / $2,340.04	Professional		$773.97	$1,140.39	$2,340.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,180.97 / $7,270.20	Facility		$55.00	$1,180.97	$7,270.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.58 / $2,173.05 / $7,575.00	Professional		$1,268.58	$2,173.05	$7,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.55 / $1,821.27 / $2,681.44	Professional		$1,112.55	$1,821.27	$2,681.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,052.06 / $1,870.50 / $2,271.69	Facility		$1,052.06	$1,870.50	$2,271.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.95 / $1,870.50 / $2,271.69	Professional		$1,094.95	$1,870.50	$2,271.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $1,077.72 / $2,094.67	Professional		$100.46	$1,077.72	$2,094.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,294.94 / $1,717.21 / $1,781.53	Facility		$1,294.94	$1,717.21	$1,781.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.97 / $1,180.97 / $1,215.16	Facility		$1,180.97	$1,180.97	$1,215.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.79 / $2,026.96 / $2,492.28	Professional		$1,250.79	$2,026.96	$2,492.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,204.43 / $1,747.22 / $2,354.54	Professional		$1,204.43	$1,747.22	$2,354.54
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 $1,133.88 / $1,803.90 / $2,546.73	Professional		$1,133.88	$1,803.90	$2,546.73