Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.03 / $1,108.85 / $20,680.40	Facility		$559.03	$1,108.85	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.27 / $559.03 / $1,065.68	Professional		$358.27	$559.03	$1,065.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $625.59 / $2,132.96	Facility		$55.00	$625.59	$2,132.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $660.44 / $1,160.33 / $4,275.75	Professional		$660.44	$1,160.33	$4,275.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.54 / $936.29 / $1,371.51	Professional		$606.54	$936.29	$1,371.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.49 / $943.41 / $1,150.76	Facility		$446.49	$943.41	$1,150.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $496.03 / $949.29 / $1,198.35	Professional		$496.03	$949.29	$1,198.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $729.48 / $1,214.65	Professional		$114.60	$729.48	$1,214.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.21 / $787.17 / $940.68	Facility		$556.21	$787.17	$940.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.59 / $625.59 / $641.63	Facility		$625.59	$625.59	$641.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.44 / $1,070.27 / $1,315.97	Professional		$660.44	$1,070.27	$1,315.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $638.02 / $922.99 / $1,243.24	Professional		$638.02	$922.99	$1,243.24
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 $581.36 / $914.71 / $1,349.76	Professional		$581.36	$914.71	$1,349.76