Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.61 / $2,269.92 / $20,680.40	Facility		$958.61	$2,269.92	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.97 / $958.61 / $2,064.31	Professional		$713.97	$958.61	$2,064.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,102.15 / $6,688.78	Facility		$55.00	$1,102.15	$6,688.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.18 / $2,028.29 / $7,098.08	Professional		$1,157.18	$2,028.29	$7,098.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.61 / $1,693.69 / $2,473.08	Professional		$971.61	$1,693.69	$2,473.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $956.17 / $1,633.42 / $1,999.60	Facility		$956.17	$1,633.42	$1,999.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.17 / $1,633.42 / $2,081.15	Professional		$956.17	$1,633.42	$2,081.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.89 / $893.08 / $1,808.66	Professional		$142.89	$893.08	$1,808.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,166.50 / $1,536.31 / $1,648.20	Facility		$1,166.50	$1,536.31	$1,648.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,102.15 / $1,102.15 / $1,124.22	Facility		$1,102.15	$1,102.15	$1,124.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.18 / $1,875.26 / $2,305.76	Professional		$1,157.18	$1,875.26	$2,305.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,124.05 / $1,617.20 / $2,178.33	Professional		$1,124.05	$1,617.20	$2,178.33
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 $1,037.52 / $1,650.60 / $2,367.40	Professional		$1,037.52	$1,650.60	$2,367.40