Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.12 / $4,651.62 / $12,576.00	Facility		$327.12	$4,651.62	$12,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $633.17 / $1,482.32	Professional		$175.85	$633.17	$1,482.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $4,318.66 / $8,788.86	Facility		$625.69	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $318.91 / $1,404.40 / $5,603.36	Professional		$318.91	$1,404.40	$5,603.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.49 / $580.28 / $2,349.92	Professional		$283.49	$580.28	$2,349.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $287.20 / $1,177.10 / $2,568.75	Facility		$287.20	$1,177.10	$2,568.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.11 / $998.34 / $2,497.52	Professional		$283.11	$998.34	$2,497.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.47 / $1,217.40 / $2,002.32	Professional		$190.47	$1,217.40	$2,002.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.25 / $1,449.86 / $1,938.98	Facility		$393.25	$1,449.86	$1,938.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $1,036.02 / $1,081.31	Facility		$625.69	$1,036.02	$1,081.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.29 / $584.86 / $2,036.82	Professional		$302.29	$584.86	$2,036.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.79 / $668.87 / $1,760.33	Professional		$283.79	$668.87	$1,760.33
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.93 / $1,683.68 / $2,493.09	Professional		$1,151.93	$1,683.68	$2,493.09