Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.53 / $5,116.62 / $18,800.00	Facility		$1,320.53	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.05 / $841.60 / $1,789.75	Professional		$626.05	$841.60	$1,789.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.70 / $5,868.94	Facility		$55.00	$966.70	$5,868.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.75 / $1,783.67 / $6,228.83	Professional		$1,037.75	$1,783.67	$6,228.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.92 / $1,485.91 / $2,171.50	Professional		$845.92	$1,485.91	$2,171.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $832.67 / $1,422.45 / $1,802.53	Facility		$832.67	$1,422.45	$1,802.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.67 / $1,422.45 / $1,825.61	Professional		$832.67	$1,422.45	$1,825.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.74 / $269.16 / $1,563.55	Professional		$72.74	$269.16	$1,563.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.28 / $1,327.94 / $1,445.86	Facility		$960.28	$1,327.94	$1,445.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.70 / $966.70 / $986.21	Facility		$966.70	$966.70	$986.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.09 / $1,645.04 / $2,022.69	Professional		$1,048.09	$1,645.04	$2,022.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $985.91 / $1,418.67 / $1,910.91	Professional		$985.91	$1,418.67	$1,910.91
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 $912.29 / $1,552.23 / $2,074.87	Professional		$912.29	$1,552.23	$2,074.87