Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.13 / $3,925.18 / $18,711.00	Facility		$995.13	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.82 / $652.70 / $1,319.96	Professional		$457.82	$652.70	$1,319.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $798.19 / $3,432.65	Facility		$55.00	$798.19	$3,432.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $825.78 / $1,474.07 / $5,310.23	Professional		$825.78	$1,474.07	$5,310.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.71 / $1,219.68 / $1,786.10	Professional		$627.71	$1,219.68	$1,786.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $610.08 / $1,055.59 / $1,354.08	Facility		$610.08	$1,055.59	$1,354.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.91 / $1,055.59 / $1,396.16	Professional		$617.91	$1,055.59	$1,396.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.96 / $370.75 / $1,096.02	Professional		$70.96	$370.75	$1,096.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $719.58 / $979.88 / $1,199.30	Facility		$719.58	$979.88	$1,199.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $798.19 / $798.19 / $818.03	Facility		$798.19	$798.19	$818.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.02 / $1,355.92 / $1,677.77	Professional		$842.02	$1,355.92	$1,677.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $814.04 / $1,176.75 / $1,585.04	Professional		$814.04	$1,176.75	$1,585.04
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 $696.37 / $1,287.14 / $1,720.52	Professional		$696.37	$1,287.14	$1,720.52