Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.45 / $5,116.62 / $20,680.40	Facility		$1,023.45	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.64 / $653.09 / $1,365.20	Professional		$489.64	$653.09	$1,365.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $744.28 / $2,000.00 / $3,273.60	Facility		$744.28	$2,000.00	$3,273.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $768.46 / $1,300.64 / $7,983.09	Professional		$768.46	$1,300.64	$7,983.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.41 / $1,151.61 / $1,697.12	Professional		$653.41	$1,151.61	$1,697.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $619.91 / $1,098.36 / $1,368.19	Facility		$619.91	$1,098.36	$1,368.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.96 / $1,098.36 / $1,375.92	Professional		$642.96	$1,098.36	$1,375.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $643.61 / $1,296.01	Professional		$98.06	$643.61	$1,296.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.66 / $1,011.03 / $1,122.25	Facility		$741.66	$1,011.03	$1,122.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.28 / $765.48 / $1,964.09	Facility		$744.28	$765.48	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.92 / $1,270.75 / $1,569.98	Professional		$787.92	$1,270.75	$1,569.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $759.07 / $1,095.10 / $1,483.21	Professional		$759.07	$1,095.10	$1,483.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.55 / $1,082.21 / $1,596.93	Professional		$658.55	$1,082.21	$1,596.93