Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.71 / $5,128.00 / $20,680.40	Facility		$1,475.71	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.15 / $939.14 / $2,099.35	Professional		$699.15	$939.14	$2,099.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,079.95 / $6,550.67	Facility		$55.00	$1,079.95	$6,550.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.40 / $1,988.59 / $6,950.40	Professional		$1,137.40	$1,988.59	$6,950.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.02 / $1,660.54 / $2,422.19	Professional		$951.02	$1,660.54	$2,422.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $936.22 / $1,599.35 / $1,960.94	Facility		$936.22	$1,599.35	$1,960.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.22 / $1,599.35 / $2,040.85	Professional		$936.22	$1,599.35	$2,040.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.89 / $891.76 / $1,760.06	Professional		$142.89	$891.76	$1,760.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,126.21 / $1,547.03 / $1,614.03	Facility		$1,126.21	$1,547.03	$1,614.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.95 / $1,079.95 / $1,100.91	Facility		$1,079.95	$1,079.95	$1,100.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.76 / $1,836.38 / $2,257.96	Professional		$1,156.76	$1,836.38	$2,257.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,101.41 / $1,583.68 / $2,133.17	Professional		$1,101.41	$1,583.68	$2,133.17
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 $1,015.96 / $1,576.24 / $2,321.07	Professional		$1,015.96	$1,576.24	$2,321.07