Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.51 / $2,341.17 / $20,680.40	Facility		$1,075.51	$2,341.17	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.75 / $1,075.51 / $2,129.10	Professional		$765.75	$1,075.51	$2,129.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,173.27 / $10,101.60	Facility		$55.00	$1,173.27	$10,101.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.67 / $2,180.50 / $8,037.00	Professional		$1,231.67	$2,180.50	$8,037.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.59 / $1,787.06 / $2,631.86	Professional		$1,080.59	$1,787.06	$2,631.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,043.04 / $1,747.23 / $2,205.65	Facility		$1,043.04	$1,747.23	$2,205.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.11 / $1,747.23 / $2,212.73	Professional		$1,063.11	$1,747.23	$2,212.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $995.52 / $2,000.15	Professional		$137.60	$995.52	$2,000.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,215.84 / $1,622.74 / $1,782.20	Facility		$1,215.84	$1,622.74	$1,782.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,173.27 / $1,173.27 / $1,215.61	Facility		$1,173.27	$1,173.27	$1,215.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,251.26 / $2,014.05 / $2,493.21	Professional		$1,251.26	$2,014.05	$2,493.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,196.58 / $1,748.68 / $2,355.42	Professional		$1,196.58	$1,748.68	$2,355.42
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 $1,082.01 / $1,903.99 / $2,545.07	Professional		$1,082.01	$1,903.99	$2,545.07