Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.80 / $2,096.16 / $20,680.40	Facility		$932.80	$2,096.16	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.21 / $932.80 / $1,908.22	Professional		$663.21	$932.80	$1,908.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,013.81 / $8,756.20	Facility		$55.00	$1,013.81	$8,756.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.70 / $1,889.08 / $6,950.03	Professional		$1,054.70	$1,889.08	$6,950.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.83 / $1,546.24 / $2,283.13	Professional		$961.83	$1,546.24	$2,283.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $902.41 / $1,505.20 / $1,900.11	Facility		$902.41	$1,505.20	$1,900.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.85 / $1,505.20 / $1,909.04	Professional		$915.85	$1,505.20	$1,909.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.96 / $253.35 / $1,606.97	Professional		$70.96	$253.35	$1,606.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,058.15 / $1,441.84 / $1,543.01	Facility		$1,058.15	$1,441.84	$1,543.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,013.81 / $1,013.81 / $1,052.47	Facility		$1,013.81	$1,013.81	$1,052.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.33 / $1,739.34 / $2,158.60	Professional		$1,083.33	$1,739.34	$2,158.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,033.96 / $1,514.00 / $2,039.31	Professional		$1,033.96	$1,514.00	$2,039.31
United Facility/Professional Facility Modifier Low / Median / High Price $749.79 / $1,612.00 / $5,793.00	Facility		$749.79	$1,612.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $1,643.95 / $2,197.46	Professional		$933.00	$1,643.95	$2,197.46