Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.89 / $2,812.16 / $14,464.32	Facility		$365.89	$2,812.16	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.15 / $626.45 / $3,064.31	Professional		$178.15	$626.45	$3,064.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,897.92 / $2,463.84	Facility		$55.00	$1,897.92	$2,463.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $324.75 / $2,642.14 / $12,069.08	Professional		$324.75	$2,642.14	$12,069.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $2,305.91 / $4,584.51	Professional		$320.45	$2,305.91	$4,584.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $304.69 / $2,373.98 / $6,822.11	Facility		$304.69	$2,373.98	$6,822.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.95 / $2,373.98 / $6,753.59	Professional		$320.95	$2,373.98	$6,753.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.15 / $2,109.76 / $3,516.04	Professional		$345.15	$2,109.76	$3,516.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.67 / $2,638.74 / $4,322.88	Facility		$388.67	$2,638.74	$4,322.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,897.92 / $1,897.92 / $2,003.17	Facility		$1,897.92	$1,897.92	$2,003.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.54 / $670.48 / $3,545.88	Professional		$346.54	$670.48	$3,545.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $618.98 / $3,224.80	Professional		$323.64	$618.98	$3,224.80
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 $2,504.46 / $3,697.06 / $5,813.92	Professional		$2,504.46	$3,697.06	$5,813.92