Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.22 / $2,003.63 / $20,680.40	Facility		$943.22	$2,003.63	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.85 / $943.22 / $1,809.76	Professional		$662.85	$943.22	$1,809.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $957.87 / $5,732.86	Facility		$55.00	$957.87	$5,732.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $998.15 / $1,715.61 / $5,976.60	Professional		$998.15	$1,715.61	$5,976.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.74 / $1,435.21 / $2,117.55	Professional		$870.74	$1,435.21	$2,117.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $824.92 / $1,463.77 / $1,777.72	Facility		$824.92	$1,463.77	$1,777.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.86 / $1,463.77 / $1,777.72	Professional		$856.86	$1,463.77	$1,777.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $830.14 / $1,597.29	Professional		$100.41	$830.14	$1,597.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.86 / $1,341.34 / $1,425.09	Facility		$986.86	$1,341.34	$1,425.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.87 / $957.87 / $976.67	Facility		$957.87	$957.87	$976.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.96 / $1,597.78 / $1,964.58	Professional		$985.96	$1,597.78	$1,964.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $996.07 / $1,374.76 / $1,856.01	Professional		$996.07	$1,374.76	$1,856.01
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 $893.34 / $1,352.44 / $2,073.84	Professional		$893.34	$1,352.44	$2,073.84