Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.90 / $3,925.18 / $18,711.00	Facility		$878.90	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $697.01 / $1,200.41	Professional		$369.81	$697.01	$1,200.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,633.02 / $4,321.81 / $11,500.00	Facility		$2,633.02	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $687.69 / $1,231.72 / $4,271.55	Professional		$687.69	$1,231.72	$4,271.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.63 / $934.63 / $1,557.08	Facility		$934.63	$934.63	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $1,013.98 / $1,525.69	Professional		$558.29	$1,013.98	$1,525.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $590.82 / $968.10 / $3,949.61	Facility		$590.82	$968.10	$3,949.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.32 / $936.10 / $1,446.60	Professional		$597.32	$936.10	$1,446.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $180.43 / $1,100.50	Professional		$37.39	$180.43	$1,100.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $620.16 / $862.29 / $990.93	Facility		$620.16	$862.29	$990.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.04 / $667.27 / $675.90	Facility		$541.04	$667.27	$675.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.72 / $1,129.18 / $1,386.27	Professional		$695.72	$1,129.18	$1,386.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $680.53 / $972.30 / $1,309.65	Professional		$680.53	$972.30	$1,309.65
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 $583.88 / $1,055.90 / $1,432.81	Professional		$583.88	$1,055.90	$1,432.81