Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.49 / $2,943.87 / $20,680.40	Facility		$1,265.49	$2,943.87	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.28 / $1,265.49 / $2,677.20	Professional		$946.28	$1,265.49	$2,677.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,457.30 / $8,866.20	Facility		$55.00	$1,457.30	$8,866.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.30 / $2,688.37 / $9,297.00	Professional		$1,514.30	$2,688.37	$9,297.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.81 / $2,252.05 / $3,283.65	Professional		$1,260.81	$2,252.05	$3,283.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,240.94 / $2,055.57 / $2,677.25	Facility		$1,240.94	$2,055.57	$2,677.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.94 / $2,055.57 / $2,767.15	Professional		$1,240.94	$2,055.57	$2,767.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $1,225.95 / $2,435.40	Professional		$193.66	$1,225.95	$2,435.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,483.96 / $2,025.41 / $2,174.15	Facility		$1,483.96	$2,025.41	$2,174.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.30 / $1,457.30 / $1,482.97	Facility		$1,457.30	$1,457.30	$1,482.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,526.45 / $2,466.94 / $3,041.54	Professional		$1,526.45	$2,466.94	$3,041.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,486.25 / $2,133.26 / $2,873.45	Professional		$1,486.25	$2,133.26	$2,873.45
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 $1,321.27 / $2,283.83 / $3,127.27	Professional		$1,321.27	$2,283.83	$3,127.27