Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.41 / $3,925.18 / $18,711.00	Facility		$1,020.41	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $635.25 / $1,353.50	Professional		$451.00	$635.25	$1,353.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $782.33 / $3,356.70	Facility		$55.00	$782.33	$3,356.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $815.03 / $1,446.77 / $5,226.75	Professional		$815.03	$1,446.77	$5,226.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.27 / $1,188.33 / $1,740.04	Professional		$643.27	$1,188.33	$1,740.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $621.15 / $1,081.70 / $1,378.65	Facility		$621.15	$1,081.70	$1,378.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.20 / $1,081.70 / $1,398.51	Professional		$633.20	$1,081.70	$1,398.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $321.20 / $1,102.81	Professional		$84.38	$321.20	$1,102.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $721.45 / $1,026.39 / $1,177.19	Facility		$721.45	$1,026.39	$1,177.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.33 / $782.33 / $802.95	Facility		$782.33	$782.33	$802.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.49 / $1,339.36 / $1,646.84	Professional		$826.49	$1,339.36	$1,646.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $797.87 / $1,155.05 / $1,555.82	Professional		$797.87	$1,155.05	$1,555.82
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 $722.84 / $1,144.38 / $1,688.67	Professional		$722.84	$1,144.38	$1,688.67