Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.32 / $1,152.08 / $12,214.00	Facility		$426.32	$1,152.08	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $465.61 / $1,050.20	Professional		$321.12	$465.61	$1,050.20
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 Facility Modifier AS Low / Median / High Price $85.24 / $155.02 / $155.02	Facility	AS	$85.24	$155.02	$155.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $614.29 / $978.18 / $3,474.64	Professional		$614.29	$978.18	$3,474.64
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 $511.08 / $854.68 / $1,431.97	Professional		$511.08	$854.68	$1,431.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $423.46 / $790.32 / $1,471.24	Facility		$423.46	$790.32	$1,471.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.55 / $783.64 / $1,190.44	Professional		$439.55	$783.64	$1,190.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.91 / $260.04 / $961.27	Professional		$38.91	$260.04	$961.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $606.54 / $839.51 / $956.76	Facility		$606.54	$839.51	$956.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $646.42 / $652.60	Facility		$625.69	$646.42	$652.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.90 / $851.10 / $1,196.24	Professional		$583.90	$851.10	$1,196.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.59 / $788.92 / $1,105.27	Professional		$575.59	$788.92	$1,105.27
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 $579.91 / $922.60 / $1,372.95	Professional		$579.91	$922.60	$1,372.95