Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.98 / $3,357.56 / $20,680.40	Facility		$1,370.98	$3,357.56	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.19 / $1,370.98 / $3,053.41	Professional		$1,016.19	$1,370.98	$3,053.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,421.06 / $8,742.23	Facility		$55.00	$1,421.06	$8,742.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,526.45 / $2,623.63 / $9,103.04	Professional		$1,526.45	$2,623.63	$9,103.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,339.28 / $2,190.92 / $3,223.48	Professional		$1,339.28	$2,190.92	$3,223.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.18 / $2,251.85 / $2,734.83	Facility		$1,318.18	$2,251.85	$2,734.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.18 / $2,251.85 / $2,855.93	Professional		$1,318.18	$2,251.85	$2,855.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $1,275.68 / $2,477.77	Professional		$150.69	$1,275.68	$2,477.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,696.54 / $2,079.67 / $2,308.60	Facility		$1,696.54	$2,079.67	$2,308.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.06 / $1,421.06 / $1,461.03	Facility		$1,421.06	$1,421.06	$1,461.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,542.57 / $2,437.07 / $2,996.55	Professional		$1,542.57	$2,437.07	$2,996.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,449.29 / $2,101.69 / $2,830.94	Professional		$1,449.29	$2,101.69	$2,830.94
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 $1,385.48 / $2,221.10 / $3,206.83	Professional		$1,385.48	$2,221.10	$3,206.83