Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.29 / $2,620.65 / $20,680.40	Facility		$1,128.29	$2,620.65	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.09 / $1,128.29 / $2,383.26	Professional		$769.09	$1,128.29	$2,383.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,166.93 / $7,192.85	Facility		$55.00	$1,166.93	$7,192.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.15 / $2,156.34 / $7,492.13	Professional		$1,237.15	$2,156.34	$7,492.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.13 / $1,802.05 / $2,654.09	Professional		$1,098.13	$1,802.05	$2,654.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,038.94 / $1,846.57 / $2,242.63	Facility		$1,038.94	$1,846.57	$2,242.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.94 / $1,846.57 / $2,242.63	Professional		$1,080.94	$1,846.57	$2,242.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $1,072.08 / $2,072.89	Professional		$100.46	$1,072.08	$2,072.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,281.50 / $1,674.33 / $1,772.15	Facility		$1,281.50	$1,674.33	$1,772.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,166.93 / $1,166.93 / $1,201.91	Facility		$1,166.93	$1,166.93	$1,201.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.15 / $2,004.85 / $2,465.10	Professional		$1,237.15	$2,004.85	$2,465.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,190.10 / $1,727.93 / $2,328.86	Professional		$1,190.10	$1,727.93	$2,328.86
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 $1,118.92 / $1,876.53 / $2,508.37	Professional		$1,118.92	$1,876.53	$2,508.37