Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.32 / $2,604.75 / $20,680.40	Facility		$1,040.32	$2,604.75	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.02 / $1,040.32 / $2,368.79	Professional		$736.02	$1,040.32	$2,368.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,278.82 / $7,685.51	Facility		$55.00	$1,278.82	$7,685.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.22 / $2,372.96 / $8,547.00	Professional		$1,339.22	$2,372.96	$8,547.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.07 / $1,943.70 / $2,846.67	Professional		$1,102.07	$1,943.70	$2,846.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,012.29 / $1,883.62 / $2,325.40	Facility		$1,012.29	$1,883.62	$2,325.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,120.83 / $1,883.62 / $2,325.40	Professional		$1,120.83	$1,883.62	$2,325.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $861.01 / $2,006.26	Professional		$159.25	$861.01	$2,006.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,302.33 / $1,698.73 / $1,924.91	Facility		$1,302.33	$1,698.73	$1,924.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,278.82 / $1,278.82 / $1,312.96	Facility		$1,278.82	$1,278.82	$1,312.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,351.46 / $2,190.09 / $2,692.86	Professional		$1,351.46	$2,190.09	$2,692.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,304.23 / $1,888.71 / $2,544.04	Professional		$1,304.23	$1,888.71	$2,544.04
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 $1,161.67 / $2,015.89 / $2,760.38	Professional		$1,161.67	$2,015.89	$2,760.38