Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.88 / $2,643.17 / $20,680.40	Facility		$1,112.88	$2,643.17	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.52 / $1,112.88 / $2,403.73	Professional		$838.52	$1,112.88	$2,403.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,293.32 / $7,845.25	Facility		$55.00	$1,293.32	$7,845.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.68 / $2,215.00 / $8,328.64	Professional		$1,340.68	$2,215.00	$8,328.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.55 / $1,985.49 / $2,898.76	Professional		$1,144.55	$1,985.49	$2,898.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,126.34 / $1,924.15 / $2,339.94	Facility		$1,126.34	$1,924.15	$2,339.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,126.34 / $1,924.15 / $2,439.58	Professional		$1,126.34	$1,924.15	$2,439.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.54 / $1,039.22 / $2,135.76	Professional		$149.54	$1,039.22	$2,135.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,339.16 / $1,786.89 / $1,933.62	Facility		$1,339.16	$1,786.89	$1,933.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,293.32 / $1,293.32 / $1,318.90	Facility		$1,293.32	$1,293.32	$1,318.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,358.48 / $2,198.50 / $2,705.05	Professional		$1,358.48	$2,198.50	$2,705.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,319.01 / $1,897.25 / $2,555.55	Professional		$1,319.01	$1,897.25	$2,555.55
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 $1,205.60 / $1,882.41 / $2,777.73	Professional		$1,205.60	$1,882.41	$2,777.73