Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.49 / $5,116.62 / $20,680.40	Facility		$1,489.49	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.47 / $897.29 / $2,023.19	Professional		$692.47	$897.29	$2,023.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,103.06 / $6,629.63	Facility		$55.00	$1,103.06	$6,629.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.18 / $2,043.46 / $7,366.35	Professional		$1,165.18	$2,043.46	$7,366.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.40 / $1,676.05 / $2,456.94	Professional		$975.40	$1,676.05	$2,456.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $959.99 / $1,613.39 / $1,991.69	Facility		$959.99	$1,613.39	$1,991.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.99 / $1,613.39 / $2,059.71	Professional		$959.99	$1,613.39	$2,059.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $468.70 / $1,595.39	Professional		$112.14	$468.70	$1,595.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.47 / $1,535.64 / $1,659.59	Facility		$1,110.47	$1,535.64	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,103.06 / $1,103.06 / $1,131.99	Facility		$1,103.06	$1,103.06	$1,131.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,165.18 / $1,886.90 / $2,321.69	Professional		$1,165.18	$1,886.90	$2,321.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,124.97 / $1,628.38 / $2,193.38	Professional		$1,124.97	$1,628.38	$2,193.38
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 $1,034.89 / $1,778.29 / $2,377.05	Professional		$1,034.89	$1,778.29	$2,377.05