Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.77 / $1,216.68 / $18,711.00	Facility		$599.77	$1,216.68	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.01 / $483.99 / $1,035.15	Professional		$270.01	$483.99	$1,035.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,519.04 / $10,802.03 / $26,542.00	Facility		$1,519.04	$10,802.03	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $567.04 / $962.45 / $3,385.28	Professional		$567.04	$962.45	$3,385.28
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 $487.84 / $820.20 / $1,399.78	Professional		$487.84	$820.20	$1,399.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.79 / $787.16 / $3,225.00	Facility		$436.79	$787.16	$3,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.00 / $756.70 / $1,476.56	Professional		$447.00	$756.70	$1,476.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $260.30 / $961.27	Professional		$38.97	$260.30	$961.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $522.10 / $860.67 / $934.56	Facility		$522.10	$860.67	$934.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.84 / $636.60 / $1,239.50	Facility		$632.84	$636.60	$1,239.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.36 / $822.62 / $1,179.64	Professional		$564.36	$822.62	$1,179.64
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 $521.80 / $747.98 / $1,078.18	Professional		$521.80	$747.98	$1,078.18
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 $554.40 / $979.38 / $1,341.07	Professional		$554.40	$979.38	$1,341.07