Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.87 / $3,925.18 / $18,711.00	Facility		$768.87	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.01 / $473.66 / $1,041.80	Professional		$344.01	$473.66	$1,041.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $578.92 / $4,217.50	Facility		$55.00	$578.92	$4,217.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $603.00 / $1,074.02 / $3,863.93	Professional		$603.00	$1,074.02	$3,863.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.95 / $886.23 / $1,301.05	Professional		$488.95	$886.23	$1,301.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $481.26 / $813.09 / $1,055.89	Facility		$481.26	$813.09	$1,055.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.26 / $813.09 / $1,079.26	Professional		$481.26	$813.09	$1,079.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $405.79 / $901.27	Professional		$69.92	$405.79	$901.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $560.71 / $771.84 / $873.01	Facility		$560.71	$771.84	$873.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.92 / $578.92 / $595.47	Facility		$578.92	$578.92	$595.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.92 / $984.60 / $1,221.30	Professional		$612.92	$984.60	$1,221.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $590.44 / $856.60 / $1,153.81	Professional		$590.44	$856.60	$1,153.81
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 $520.00 / $806.68 / $1,249.35	Professional		$520.00	$806.68	$1,249.35