Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.75 / $4,011.00 / $17,100.00	Facility		$453.75	$4,011.00	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.77 / $330.62 / $647.48	Professional		$230.77	$330.62	$647.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,010.16 / $10,612.45 / $20,300.41	Facility		$6,010.16	$10,612.45	$20,300.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $348.57 / $575.39 / $2,788.71	Professional		$348.57	$575.39	$2,788.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.25 / $510.58 / $746.55	Professional		$315.25	$510.58	$746.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $307.44 / $561.11 / $7,779.83	Facility		$307.44	$561.11	$7,779.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.20 / $537.48 / $2,569.84	Professional		$318.20	$537.48	$2,569.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $427.20 / $702.32	Professional		$67.33	$427.20	$702.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $362.30 / $480.39 / $497.67	Facility		$362.30	$480.39	$497.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.78 / $338.64 / $1,366.31	Facility		$329.78	$338.64	$1,366.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.63 / $562.77 / $694.54	Professional		$355.63	$562.77	$694.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $10,606.39 / $20,300.41	Facility		$6,881.70	$10,606.39	$20,300.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $487.13 / $656.16	Professional		$336.34	$487.13	$656.16
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 $313.26 / $519.66 / $711.58	Professional		$313.26	$519.66	$711.58