Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.51 / $2,535.39 / $20,680.40	Facility		$1,136.51	$2,535.39	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.32 / $1,136.51 / $2,305.71	Professional		$770.32	$1,136.51	$2,305.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,175.54 / $7,239.54	Facility		$55.00	$1,175.54	$7,239.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.23 / $2,172.94 / $7,539.83	Professional		$1,264.23	$2,172.94	$7,539.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.44 / $1,815.65 / $2,671.24	Professional		$1,105.44	$1,815.65	$2,671.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,046.32 / $1,858.90 / $2,257.60	Facility		$1,046.32	$1,858.90	$2,257.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.16 / $1,858.90 / $2,257.60	Professional		$1,088.16	$1,858.90	$2,257.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $1,072.04 / $2,072.89	Professional		$100.46	$1,072.04	$2,072.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,264.29 / $1,685.72 / $1,773.49	Facility		$1,264.29	$1,685.72	$1,773.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,175.54 / $1,175.54 / $1,209.68	Facility		$1,175.54	$1,175.54	$1,209.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.15 / $2,017.81 / $2,481.03	Professional		$1,245.15	$2,017.81	$2,481.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,198.89 / $1,740.13 / $2,343.92	Professional		$1,198.89	$1,740.13	$2,343.92
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 $1,126.83 / $1,756.73 / $2,535.37	Professional		$1,126.83	$1,756.73	$2,535.37