Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.30 / $1,385.23 / $20,680.40	Facility		$608.30	$1,385.23	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.39 / $608.30 / $1,259.75	Professional		$473.39	$608.30	$1,259.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $654.13 / $11,565.54	Facility		$55.00	$654.13	$11,565.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $669.18 / $1,131.14 / $4,206.83	Professional		$669.18	$1,131.14	$4,206.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.91 / $975.26 / $1,417.76	Professional		$652.91	$975.26	$1,417.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $462.83 / $1,053.76 / $1,290.17	Facility		$462.83	$1,053.76	$1,290.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.34 / $1,053.76 / $1,315.86	Professional		$604.34	$1,053.76	$1,315.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.78 / $770.48 / $1,247.52	Professional		$124.78	$770.48	$1,247.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $681.69 / $909.24 / $981.85	Facility		$681.69	$909.24	$981.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.13 / $654.13 / $655.80	Facility		$654.13	$654.13	$655.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.44 / $1,092.65 / $1,307.77	Professional		$693.44	$1,092.65	$1,307.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $667.13 / $943.37 / $1,270.69	Professional		$667.13	$943.37	$1,270.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,446.00 / $5,793.00	Facility		$1,120.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.08 / $869.42 / $1,386.46	Professional		$630.08	$869.42	$1,386.46