Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.70 / $2,165.66 / $14,464.32	Facility		$277.70	$2,165.66	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $716.60 / $1,464.10	Professional		$152.63	$716.60	$1,464.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,074.85 / $1,271.89	Facility		$55.00	$1,074.85	$1,271.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $262.74 / $1,496.34 / $6,462.52	Professional		$262.74	$1,496.34	$6,462.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $985.60 / $2,400.86	Professional		$243.41	$985.60	$2,400.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $734.39 / $2,131.55	Facility		$239.78	$734.39	$2,131.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $734.39 / $2,131.55	Professional		$241.87	$734.39	$2,131.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.87 / $1,203.65 / $2,008.77	Professional		$196.87	$1,203.65	$2,008.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.42 / $1,503.15 / $1,717.00	Facility		$293.42	$1,503.15	$1,717.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.85 / $1,074.85 / $1,143.83	Facility		$1,074.85	$1,074.85	$1,143.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $505.91 / $1,970.27	Professional		$261.49	$505.91	$1,970.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.56 / $467.06 / $1,820.45	Professional		$245.56	$467.06	$1,820.45
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.14 / $1,529.54 / $2,368.32	Professional		$1,036.14	$1,529.54	$2,368.32