Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.57 / $2,055.26 / $20,680.40	Facility		$1,152.57	$2,055.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.96 / $1,152.57 / $2,155.29	Professional		$820.96	$1,152.57	$2,155.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,257.08 / $11,926.86	Facility		$55.00	$1,257.08	$11,926.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.71 / $2,342.26 / $8,620.12	Professional		$1,307.71	$2,342.26	$8,620.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.59 / $1,914.79 / $2,825.71	Professional		$1,116.59	$1,914.79	$2,825.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,111.92 / $1,860.93 / $2,349.17	Facility		$1,111.92	$1,860.93	$2,349.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.29 / $1,860.93 / $2,357.54	Professional		$1,132.29	$1,860.93	$2,357.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $406.54 / $2,037.07	Professional		$100.56	$406.54	$2,037.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.88 / $1,672.18 / $1,912.18	Facility		$1,110.88	$1,672.18	$1,912.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,257.08 / $1,257.08 / $1,304.28	Facility		$1,257.08	$1,257.08	$1,304.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,342.52 / $2,155.34 / $2,675.05	Professional		$1,342.52	$2,155.34	$2,675.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,282.05 / $1,876.22 / $2,527.21	Professional		$1,282.05	$1,876.22	$2,527.21
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 $1,147.24 / $1,867.60 / $2,724.65	Professional		$1,147.24	$1,867.60	$2,724.65