Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.75 / $1,249.27 / $20,680.40	Facility		$581.75	$1,249.27	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.74 / $581.75 / $1,141.58	Professional		$410.74	$581.75	$1,141.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $625.59 / $5,450.20	Facility		$55.00	$625.59	$5,450.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $672.20 / $1,168.01 / $4,297.64	Professional		$672.20	$1,168.01	$4,297.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.21 / $963.25 / $1,423.74	Professional		$597.21	$963.25	$1,423.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $563.75 / $933.95 / $1,178.98	Facility		$563.75	$933.95	$1,178.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.27 / $933.95 / $1,191.59	Professional		$568.27	$933.95	$1,191.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $534.39 / $1,072.30	Professional		$89.14	$534.39	$1,072.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.25 / $865.64 / $957.43	Facility		$649.25	$865.64	$957.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.59 / $625.59 / $653.04	Facility		$625.59	$625.59	$653.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.20 / $1,074.39 / $1,339.40	Professional		$672.20	$1,074.39	$1,339.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $638.02 / $939.27 / $1,265.38	Professional		$638.02	$939.27	$1,265.38
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 $569.75 / $927.51 / $1,363.29	Professional		$569.75	$927.51	$1,363.29