Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.42 / $2,645.68 / $20,680.40	Facility		$1,184.42	$2,645.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.87 / $1,184.42 / $2,406.02	Professional		$805.87	$1,184.42	$2,406.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,224.01 / $7,523.60	Facility		$55.00	$1,224.01	$7,523.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.28 / $2,259.91 / $7,839.00	Professional		$1,319.28	$2,259.91	$7,839.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.56 / $1,893.71 / $2,776.82	Professional		$1,151.56	$1,893.71	$2,776.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,097.16 / $1,936.47 / $2,351.81	Facility		$1,097.16	$1,936.47	$2,351.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.57 / $1,936.47 / $2,351.81	Professional		$1,133.57	$1,936.47	$2,351.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $1,135.20 / $2,150.18	Professional		$100.45	$1,135.20	$2,150.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,301.93 / $1,767.46 / $1,843.17	Facility		$1,301.93	$1,767.46	$1,843.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,224.01 / $1,224.01 / $1,257.21	Facility		$1,224.01	$1,224.01	$1,257.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.07 / $2,097.09 / $2,578.51	Professional		$1,294.07	$2,097.09	$2,578.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,248.32 / $1,808.51 / $2,436.01	Professional		$1,248.32	$1,808.51	$2,436.01
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 $1,175.00 / $1,843.61 / $2,637.75	Professional		$1,175.00	$1,843.61	$2,637.75