Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.47 / $10,596.56 / $22,024.00	Facility		$242.47	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.20 / $242.47 / $275.00	Professional		$218.20	$242.47	$275.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $320.80 / $11,522.14 / $22,290.81	Facility		$320.80	$11,522.14	$22,290.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $328.70 / $575.95 / $2,144.85	Professional		$328.70	$575.95	$2,144.85
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 $386.46 / $386.46 / $386.46	Professional		$386.46	$386.46	$386.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.99 / $751.99 / $751.99	Professional		$751.99	$751.99	$751.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $50.00	Professional		$45.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $403.37 / $1,957.00 / $4,007.67	Facility		$403.37	$1,957.00	$4,007.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.48 / $313.48 / $335.90	Facility		$313.48	$313.48	$335.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.74 / $525.78 / $666.72	Professional		$345.74	$525.78	$666.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $351.24 / $11,266.46 / $22,040.55	Facility		$351.24	$11,266.46	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $457.51 / $650.84	Professional		$319.70	$457.51	$650.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.56 / $380.60 / $667.16	Professional		$297.56	$380.60	$667.16