Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.27 / $3,220.22 / $20,680.40	Facility		$1,405.27	$3,220.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.92 / $1,405.27 / $2,928.51	Professional		$951.92	$1,405.27	$2,928.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,455.94 / $10,240.64	Facility		$55.00	$1,455.94	$10,240.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.08 / $2,680.96 / $9,330.90	Professional		$1,565.08	$2,680.96	$9,330.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.17 / $2,246.10 / $3,303.74	Professional		$1,373.17	$2,246.10	$3,303.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,297.65 / $2,309.12 / $2,804.39	Facility		$1,297.65	$2,309.12	$2,804.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.71 / $2,309.12 / $2,804.39	Professional		$1,351.71	$2,309.12	$2,804.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,334.38 / $2,523.58	Professional		$150.54	$1,334.38	$2,523.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,600.46 / $2,133.94 / $2,195.59	Facility		$1,600.46	$2,133.94	$2,195.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,455.94 / $1,455.94 / $1,497.59	Facility		$1,455.94	$1,455.94	$1,497.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.50 / $2,498.06 / $3,071.53	Professional		$1,541.50	$2,498.06	$3,071.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,484.87 / $2,154.30 / $2,901.78	Professional		$1,484.87	$2,154.30	$2,901.78
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 $1,337.70 / $2,120.58 / $3,153.14	Professional		$1,337.70	$2,120.58	$3,153.14