Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.13 / $2,047.52 / $20,680.40	Facility		$917.13	$2,047.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.58 / $917.13 / $1,862.04	Professional		$619.58	$917.13	$1,862.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $946.32 / $5,836.81	Facility		$55.00	$946.32	$5,836.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $985.16 / $1,660.47 / $6,197.00	Professional		$985.16	$1,660.47	$6,197.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.05 / $1,462.87 / $2,155.07	Professional		$889.05	$1,462.87	$2,155.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $841.32 / $1,494.95 / $1,815.59	Facility		$841.32	$1,494.95	$1,815.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.11 / $1,494.95 / $1,815.59	Professional		$875.11	$1,494.95	$1,815.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $836.30 / $1,658.69	Professional		$100.45	$836.30	$1,658.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,003.52 / $1,354.07 / $1,429.78	Facility		$1,003.52	$1,354.07	$1,429.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $975.24	Facility		$946.32	$946.32	$975.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.83 / $1,626.75 / $2,000.20	Professional		$1,003.83	$1,626.75	$2,000.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $965.12 / $1,402.03 / $1,889.66	Professional		$965.12	$1,402.03	$1,889.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.96 / $1,410.35 / $2,035.27	Professional		$905.96	$1,410.35	$2,035.27