Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.95 / $10,700.00 / $22,024.00	Facility		$387.95	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.06 / $387.95 / $588.86	Professional		$349.06	$387.95	$588.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $485.16 / $592.19 / $2,726.30	Facility		$485.16	$592.19	$2,726.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $511.43 / $905.40 / $3,403.43	Professional		$511.43	$905.40	$3,403.43
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 $613.08 / $613.08 / $613.08	Professional		$613.08	$613.08	$613.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,467.55 / $17,227.13 / $31,281.65	Facility		$2,467.55	$17,227.13	$31,281.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,192.81 / $1,192.81 / $2,467.55	Professional		$1,192.81	$1,192.81	$2,467.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.73 / $240.04 / $258.58	Facility		$179.73	$240.04	$258.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.47 / $501.47 / $532.86	Facility		$501.47	$501.47	$532.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.49 / $842.32 / $1,057.68	Professional		$548.49	$842.32	$1,057.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $493.49 / $582.20 / $1,261.42	Facility		$493.49	$582.20	$1,261.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $511.43 / $738.92 / $1,009.76	Professional		$511.43	$738.92	$1,009.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $3,478.00 / $16,315.00	Facility		$2,240.00	$3,478.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.24 / $471.72 / $838.56	Professional		$370.24	$471.72	$838.56