Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.55 / $2,758.73 / $20,680.40	Facility		$1,217.55	$2,758.73	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.40 / $1,217.55 / $2,508.83	Professional		$822.40	$1,217.55	$2,508.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,332.27 / $11,462.50	Facility		$55.00	$1,332.27	$11,462.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.08 / $2,473.33 / $9,136.65	Professional		$1,421.08	$2,473.33	$9,136.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.52 / $2,024.90 / $2,984.91	Professional		$1,223.52	$2,024.90	$2,984.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,177.93 / $1,978.11 / $2,497.09	Facility		$1,177.93	$1,978.11	$2,497.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.58 / $1,978.11 / $2,501.53	Professional		$1,203.58	$1,978.11	$2,501.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $410.60 / $2,153.56	Professional		$97.74	$410.60	$2,153.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,393.65 / $1,892.65 / $2,024.07	Facility		$1,393.65	$1,892.65	$2,024.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.27 / $1,332.27 / $1,380.60	Facility		$1,332.27	$1,332.27	$1,380.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,421.08 / $2,286.41 / $2,831.58	Professional		$1,421.08	$2,286.41	$2,831.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,358.74 / $1,986.00 / $2,675.10	Professional		$1,358.74	$1,986.00	$2,675.10
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 $1,247.40 / $2,108.26 / $3,033.37	Professional		$1,247.40	$2,108.26	$3,033.37