Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.41 / $895.58 / $17,100.00	Facility		$410.41	$895.58	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.88 / $314.29 / $622.73	Professional		$191.88	$314.29	$622.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $10,802.03 / $20,663.07	Facility		$1,040.08	$10,802.03	$20,663.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $408.44 / $683.70 / $2,400.96	Professional		$408.44	$683.70	$2,400.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.69 / $583.47 / $988.86	Professional		$343.69	$583.47	$988.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $556.47 / $3,225.00	Facility		$316.00	$556.47	$3,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.61 / $540.77 / $1,039.41	Professional		$319.61	$540.77	$1,039.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $388.33 / $769.24	Professional		$50.09	$388.33	$769.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $618.17 / $680.00	Facility		$388.00	$618.17	$680.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.52 / $453.00 / $1,239.50	Facility		$451.52	$453.00	$1,239.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.09 / $567.79 / $854.86	Professional		$388.09	$567.79	$854.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $523.36 / $764.71	Professional		$361.33	$523.36	$764.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.04 / $717.24 / $966.32	Professional		$404.04	$717.24	$966.32