Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.36 / $5,116.62 / $18,800.00	Facility		$1,310.36	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.39 / $835.09 / $1,908.03	Professional		$621.39	$835.09	$1,908.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $959.91 / $5,824.70	Facility		$55.00	$959.91	$5,824.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.60 / $1,770.39 / $6,183.00	Professional		$1,007.60	$1,770.39	$6,183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.83 / $1,474.49 / $2,154.86	Professional		$839.83	$1,474.49	$2,154.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $826.73 / $1,412.30 / $1,744.15	Facility		$826.73	$1,412.30	$1,744.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.73 / $1,412.30 / $1,811.89	Professional		$826.73	$1,412.30	$1,811.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.74 / $268.02 / $1,563.55	Professional		$72.74	$268.02	$1,563.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,019.20 / $1,369.48 / $1,440.92	Facility		$1,019.20	$1,369.48	$1,440.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $959.91 / $959.91 / $978.89	Facility		$959.91	$959.91	$978.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.60 / $1,632.85 / $2,007.70	Professional		$1,007.60	$1,632.85	$2,007.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $978.98 / $1,408.15 / $1,896.74	Professional		$978.98	$1,408.15	$1,896.74
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 $899.36 / $1,540.66 / $2,059.40	Professional		$899.36	$1,540.66	$2,059.40