Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.23 / $2,319.67 / $20,680.40	Facility		$1,226.23	$2,319.67	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.27 / $1,226.23 / $2,297.55	Professional		$777.27	$1,226.23	$2,297.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,341.33 / $11,536.80	Facility		$55.00	$1,341.33	$11,536.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.13 / $2,490.69 / $9,198.45	Professional		$1,403.13	$2,490.69	$9,198.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.92 / $2,038.45 / $3,003.92	Professional		$1,238.92	$2,038.45	$3,003.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $948.91 / $1,889.20 / $2,504.75	Facility		$948.91	$1,889.20	$2,504.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $989.80 / $1,931.42 / $2,532.96	Professional		$989.80	$1,931.42	$2,532.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $339.96 / $2,167.84	Professional		$97.58	$339.96	$2,167.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,213.24 / $1,687.77 / $2,037.47	Facility		$1,213.24	$1,687.77	$2,037.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.33 / $1,341.33 / $1,389.74	Facility		$1,341.33	$1,341.33	$1,389.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.49 / $2,303.67 / $2,850.33	Professional		$1,430.49	$2,303.67	$2,850.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,367.98 / $1,999.15 / $2,692.81	Professional		$1,367.98	$1,999.15	$2,692.81
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 $1,202.47 / $1,970.09 / $2,907.11	Professional		$1,202.47	$1,970.09	$2,907.11