Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.86 / $826.29 / $20,680.40	Facility		$541.86	$826.29	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.52 / $598.55 / $995.16	Professional		$238.52	$598.55	$995.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $597.96 / $15,599.20 / $31,745.76	Facility		$597.96	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $612.84 / $1,109.71 / $3,846.30	Professional		$612.84	$1,109.71	$3,846.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.33 / $898.22 / $1,348.69	Professional		$533.33	$898.22	$1,348.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $421.60 / $930.90 / $6,447.65	Facility		$421.60	$930.90	$6,447.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.60 / $863.49 / $3,328.01	Professional		$421.60	$863.49	$3,328.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $698.29 / $1,144.81	Professional		$110.18	$698.29	$1,144.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.29 / $737.55 / $898.47	Facility		$348.29	$737.55	$898.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.96 / $597.96 / $612.84	Facility		$597.96	$597.96	$612.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.80 / $1,022.24 / $1,256.92	Professional		$630.80	$1,022.24	$1,256.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $609.84 / $881.57 / $1,187.46	Professional		$609.84	$881.57	$1,187.46
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 $434.74 / $942.72 / $1,290.86	Professional		$434.74	$942.72	$1,290.86