Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.57 / $2,727.85 / $20,680.40	Facility		$1,208.57	$2,727.85	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.56 / $1,208.57 / $2,480.73	Professional		$823.56	$1,208.57	$2,480.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,251.19 / $7,706.23	Facility		$55.00	$1,251.19	$7,706.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.91 / $2,309.89 / $8,026.95	Professional		$1,343.91	$2,309.89	$8,026.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,113.56 / $1,979.25 / $2,403.76	Facility		$1,113.56	$1,979.25	$2,403.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.60 / $1,979.25 / $2,403.76	Professional		$1,158.60	$1,979.25	$2,403.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.22 / $2,122.61	Professional		$73.20	$287.22	$2,122.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,333.34 / $1,829.10 / $1,888.06	Facility		$1,333.34	$1,829.10	$1,888.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.19 / $1,251.19 / $1,287.83	Facility		$1,251.19	$1,251.19	$1,287.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,325.59 / $2,148.16 / $2,641.31	Professional		$1,325.59	$2,148.16	$2,641.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,276.04 / $1,850.97 / $2,495.34	Professional		$1,276.04	$1,850.97	$2,495.34
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 $1,201.21 / $1,829.11 / $2,686.99	Professional		$1,201.21	$1,829.11	$2,686.99