Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.81 / $2,345.40 / $20,680.40	Facility		$978.81	$2,345.40	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.68 / $978.81 / $2,132.94	Professional		$729.68	$978.81	$2,132.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,126.60 / $6,835.57	Facility		$55.00	$1,126.60	$6,835.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.58 / $2,079.15 / $7,253.85	Professional		$1,182.58	$2,079.15	$7,253.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.56 / $1,730.29 / $2,527.40	Professional		$993.56	$1,730.29	$2,527.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.81 / $1,670.40 / $2,042.81	Facility		$977.81	$1,670.40	$2,042.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.81 / $1,670.40 / $2,126.60	Professional		$977.81	$1,670.40	$2,126.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.89 / $896.95 / $1,847.21	Professional		$142.89	$896.95	$1,847.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,152.14 / $1,593.26 / $1,684.38	Facility		$1,152.14	$1,593.26	$1,684.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.60 / $1,126.60 / $1,148.90	Facility		$1,126.60	$1,126.60	$1,148.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.58 / $1,916.42 / $2,356.37	Professional		$1,182.58	$1,916.42	$2,356.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.99 / $1,652.71 / $2,226.15	Professional		$1,148.99	$1,652.71	$2,226.15
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 $1,042.58 / $1,685.61 / $2,418.57	Professional		$1,042.58	$1,685.61	$2,418.57