Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.91 / $2,946.77 / $20,680.40	Facility		$1,394.91	$2,946.77	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.29 / $1,394.91 / $2,679.83	Professional		$896.29	$1,394.91	$2,679.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,456.85 / $8,819.44	Facility		$55.00	$1,456.85	$8,819.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.04 / $2,675.16 / $9,356.33	Professional		$1,525.04	$2,675.16	$9,356.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.20 / $2,237.23 / $3,264.29	Professional		$1,248.20	$2,237.23	$3,264.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,228.63 / $2,098.87 / $2,649.96	Facility		$1,228.63	$2,098.87	$2,649.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,228.63 / $2,098.87 / $2,749.14	Professional		$1,228.63	$2,098.87	$2,749.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.71 / $316.49 / $2,450.87	Professional		$73.71	$316.49	$2,450.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,539.09 / $1,995.26 / $2,172.14	Facility		$1,539.09	$1,995.26	$2,172.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,456.85 / $1,456.85 / $1,481.59	Facility		$1,456.85	$1,456.85	$1,481.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,525.04 / $2,471.38 / $3,038.73	Professional		$1,525.04	$2,471.38	$3,038.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,485.79 / $2,131.29 / $2,870.79	Professional		$1,485.79	$2,131.29	$2,870.79
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 $1,352.12 / $2,280.29 / $3,122.42	Professional		$1,352.12	$2,280.29	$3,122.42