Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.79 / $2,273.06 / $20,680.40	Facility		$987.79	$2,273.06	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.38 / $987.79 / $2,051.29	Professional		$727.38	$987.79	$2,051.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,021.52 / $6,290.34	Facility		$55.00	$1,021.52	$6,290.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.92 / $1,789.65 / $9,677.00	Professional		$1,081.92	$1,789.65	$9,677.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.57 / $1,576.37 / $2,321.67	Professional		$972.57	$1,576.37	$2,321.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $936.03 / $1,634.87 / $1,985.52	Facility		$936.03	$1,634.87	$1,985.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.02 / $1,634.87 / $1,985.52	Professional		$957.02	$1,634.87	$1,985.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $894.22 / $1,809.00	Professional		$100.46	$894.22	$1,809.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.09 / $1,490.08 / $1,542.34	Facility		$1,122.09	$1,490.08	$1,542.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.52 / $1,021.52 / $1,051.09	Facility		$1,021.52	$1,021.52	$1,051.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.15 / $1,753.29 / $2,155.79	Professional		$1,097.15	$1,753.29	$2,155.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,511.11 / $2,036.65	Professional		$1,041.81	$1,511.11	$2,036.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.50 / $3,954.50 / $7,190.00	Facility		$3,235.50	$3,954.50	$7,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $978.99 / $1,602.00 / $2,201.75	Professional		$978.99	$1,602.00	$2,201.75