Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.79 / $2,452.19 / $20,680.40	Facility		$1,079.79	$2,452.19	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.07 / $1,079.79 / $2,230.07	Professional		$729.07	$1,079.79	$2,230.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,117.09 / $6,881.70	Facility		$55.00	$1,117.09	$6,881.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.01 / $2,062.55 / $7,167.45	Professional		$1,200.01	$2,062.55	$7,167.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.84 / $1,724.13 / $2,539.73	Professional		$1,051.84	$1,724.13	$2,539.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,004.50 / $1,768.27 / $2,147.53	Facility		$1,004.50	$1,768.27	$2,147.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.10 / $1,768.27 / $2,147.53	Professional		$1,035.10	$1,768.27	$2,147.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $992.19 / $1,969.72	Professional		$100.46	$992.19	$1,969.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,213.24 / $1,616.04 / $1,685.72	Facility		$1,213.24	$1,616.04	$1,685.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.09 / $1,117.09 / $1,149.81	Facility		$1,117.09	$1,117.09	$1,149.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.53 / $1,917.95 / $2,358.25	Professional		$1,183.53	$1,917.95	$2,358.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,139.29 / $1,652.77 / $2,227.92	Professional		$1,139.29	$1,652.77	$2,227.92
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 $1,063.64 / $1,794.92 / $2,441.94	Professional		$1,063.64	$1,794.92	$2,441.94