Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,125.00 / $23,000.00	Facility		$1,733.00	$5,125.00	$23,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.20 / $1,457.21 / $3,014.96	Professional		$999.20	$1,457.21	$3,014.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,510.76 / $10,620.88	Facility		$55.00	$1,510.76	$10,620.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,598.89 / $2,787.14 / $9,678.83	Professional		$1,598.89	$2,787.14	$9,678.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.66 / $2,327.34 / $3,426.07	Professional		$1,424.66	$2,327.34	$3,426.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,346.03 / $2,395.40 / $2,909.17	Facility		$1,346.03	$2,395.40	$2,909.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.21 / $2,395.40 / $2,909.17	Professional		$1,402.21	$2,395.40	$2,909.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $1,371.50 / $2,675.65	Professional		$150.24	$1,371.50	$2,675.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,622.11 / $2,194.25 / $2,277.33	Facility		$1,622.11	$2,194.25	$2,277.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,510.76 / $1,510.76 / $1,553.34	Facility		$1,510.76	$1,510.76	$1,553.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,598.89 / $2,591.06 / $3,185.88	Professional		$1,598.89	$2,591.06	$3,185.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,540.77 / $2,233.41 / $3,009.81	Professional		$1,540.77	$2,233.41	$3,009.81
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 $1,436.93 / $2,248.40 / $3,242.14	Professional		$1,436.93	$2,248.40	$3,242.14