Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.14 / $1,581.73 / $2,299.01	Facility		$864.14	$1,581.73	$2,299.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.32 / $1,088.09 / $2,311.21	Professional		$559.32	$1,088.09	$2,311.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,205.95 / $1,480.03 / $2,028.19	Professional		$1,205.95	$1,480.03	$2,028.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,375.31 / $3,619.51	Facility		$55.00	$1,375.31	$3,619.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.78 / $2,202.19 / $7,469.84	Professional		$1,283.78	$2,202.19	$7,469.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.29 / $1,845.48 / $3,064.13	Professional		$961.29	$1,845.48	$3,064.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $769.11 / $1,356.83 / $2,036.59	Facility		$769.11	$1,356.83	$2,036.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.77 / $1,365.29 / $2,224.71	Professional		$846.77	$1,365.29	$2,224.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $1,653.85 / $2,727.21	Professional		$261.49	$1,653.85	$2,727.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $981.94 / $1,612.02 / $2,064.48	Facility		$981.94	$1,612.02	$2,064.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,375.31 / $1,375.31 / $1,421.27	Facility		$1,375.31	$1,375.31	$1,421.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,320.02 / $1,891.23 / $2,658.55	Professional		$1,320.02	$1,891.23	$2,658.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,190.08 / $1,780.85 / $2,454.36	Professional		$1,190.08	$1,780.85	$2,454.36
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 $1,032.61 / $1,914.46 / $2,979.54	Professional		$1,032.61	$1,914.46	$2,979.54