Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.62 / $2,992.34 / $20,680.40	Facility		$1,313.62	$2,992.34	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.11 / $1,313.62 / $2,721.28	Professional		$884.11	$1,313.62	$2,721.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,368.51 / $8,323.91	Facility		$55.00	$1,368.51	$8,323.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.88 / $2,529.84 / $8,834.40	Professional		$1,471.88	$2,529.84	$8,834.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.08 / $2,101.81 / $3,073.66	Professional		$1,255.08	$2,101.81	$3,073.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,235.42 / $2,110.46 / $2,563.13	Facility		$1,235.42	$2,110.46	$2,563.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.42 / $2,110.46 / $2,582.79	Professional		$1,235.42	$2,110.46	$2,582.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $300.42 / $2,284.79	Professional		$74.23	$300.42	$2,284.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,498.46 / $1,972.03 / $2,052.21	Facility		$1,498.46	$1,972.03	$2,052.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,368.51 / $1,368.51 / $1,399.79	Facility		$1,368.51	$1,368.51	$1,399.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,471.88 / $2,334.92 / $2,870.95	Professional		$1,471.88	$2,334.92	$2,870.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,395.70 / $2,013.62 / $2,712.29	Professional		$1,395.70	$2,013.62	$2,712.29
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 $1,294.89 / $2,149.14 / $2,952.17	Professional		$1,294.89	$2,149.14	$2,952.17