Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.48 / $2,348.23 / $20,680.40	Facility		$930.48	$2,348.23	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.24 / $930.48 / $2,122.15	Professional		$693.24	$930.48	$2,122.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,069.53 / $6,491.10	Facility		$55.00	$1,069.53	$6,491.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.83 / $1,974.57 / $6,887.48	Professional		$1,122.83	$1,974.57	$6,887.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.62 / $1,643.83 / $2,400.52	Professional		$941.62	$1,643.83	$2,400.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $926.88 / $1,583.40 / $1,941.99	Facility		$926.88	$1,583.40	$1,941.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.88 / $1,583.40 / $2,020.27	Professional		$926.88	$1,583.40	$2,020.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.73 / $882.12 / $1,739.37	Professional		$142.73	$882.12	$1,739.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $1,514.20 / $1,605.48	Facility		$1,157.00	$1,514.20	$1,605.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.53 / $1,069.53 / $1,090.85	Facility		$1,069.53	$1,069.53	$1,090.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.83 / $1,819.61 / $2,237.34	Professional		$1,122.83	$1,819.61	$2,237.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,090.78 / $1,569.21 / $2,113.69	Professional		$1,090.78	$1,569.21	$2,113.69
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 $985.40 / $1,718.36 / $2,296.94	Professional		$985.40	$1,718.36	$2,296.94