Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.23 / $2,762.70 / $20,680.40	Facility		$1,245.23	$2,762.70	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.38 / $1,245.23 / $2,512.44	Professional		$889.38	$1,245.23	$2,512.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,357.64 / $14,068.80	Facility		$55.00	$1,357.64	$14,068.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.31 / $2,531.50 / $9,320.93	Professional		$1,427.31	$2,531.50	$9,320.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.58 / $2,069.63 / $3,055.48	Professional		$1,246.58	$2,069.63	$3,055.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,203.34 / $2,015.77 / $2,544.64	Facility		$1,203.34	$2,015.77	$2,544.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.51 / $2,015.77 / $2,553.66	Professional		$1,226.51	$2,015.77	$2,553.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $407.97 / $2,154.30	Professional		$97.70	$407.97	$2,154.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,397.30 / $1,931.61 / $2,067.62	Facility		$1,397.30	$1,931.61	$2,067.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,357.64 / $1,357.64 / $1,410.30	Facility		$1,357.64	$1,357.64	$1,410.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,451.65 / $2,328.80 / $2,892.51	Professional		$1,451.65	$2,328.80	$2,892.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,384.61 / $2,028.73 / $2,732.65	Professional		$1,384.61	$2,028.73	$2,732.65
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 $1,236.50 / $2,018.10 / $2,944.78	Professional		$1,236.50	$2,018.10	$2,944.78