Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.58 / $10,700.00 / $22,024.00	Facility		$433.58	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $433.58 / $472.23	Professional		$277.45	$433.58	$472.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $378.85 / $535.90 / $1,253.44	Facility		$378.85	$535.90	$1,253.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $430.15 / $717.91 / $2,384.85	Professional		$430.15	$717.91	$2,384.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $734.00	Facility		$734.00	$734.00	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.89 / $435.89 / $435.89	Professional		$435.89	$435.89	$435.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.66 / $886.66 / $886.66	Professional		$886.66	$886.66	$886.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.03 / $542.58 / $555.42	Facility		$364.03	$542.58	$555.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.85 / $535.90 / $535.90	Facility		$378.85	$535.90	$535.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.83 / $631.95 / $921.77	Professional		$426.83	$631.95	$921.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $433.82 / $544.99 / $857.79	Professional		$433.82	$544.99	$857.79
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.41 / $615.16 / $1,025.46	Professional		$455.41	$615.16	$1,025.46