Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.04 / $5,116.62 / $18,800.00	Facility		$848.04	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $625.76 / $1,231.82	Professional		$434.40	$625.76	$1,231.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $635.55 / $25,035.29 / $55,801.25	Facility		$635.55	$25,035.29	$55,801.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $673.98 / $1,165.32 / $4,151.70	Professional		$673.98	$1,165.32	$4,151.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $954.26 / $1,395.78	Professional		$613.66	$954.26	$1,395.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.39 / $1,065.08 / $8,759.23	Facility		$584.39	$1,065.08	$8,759.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.39 / $1,034.55 / $3,215.17	Professional		$584.39	$1,034.55	$3,215.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $743.72 / $1,217.97	Professional		$116.25	$743.72	$1,217.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $687.47 / $893.82 / $954.04	Facility		$687.47	$893.82	$954.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.55 / $635.55 / $644.83	Facility		$635.55	$635.55	$644.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.99 / $1,075.60 / $1,322.53	Professional		$677.99	$1,075.60	$1,322.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,479.97 / $27,419.55 / $55,801.25	Facility		$12,479.97	$27,419.55	$55,801.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $648.19 / $927.59 / $1,249.44	Professional		$648.19	$927.59	$1,249.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.28 / $971.51 / $1,355.57	Professional		$610.28	$971.51	$1,355.57