Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.84 / $2,630.98 / $14,464.32	Facility		$427.84	$2,630.98	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $1,237.98 / $2,251.85	Professional		$249.21	$1,237.98	$2,251.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,591.73 / $2,101.16	Facility		$55.00	$1,591.73	$2,101.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $407.89 / $2,140.30 / $10,138.50	Professional		$407.89	$2,140.30	$10,138.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.71 / $1,583.20 / $3,548.84	Professional		$375.71	$1,583.20	$3,548.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $374.53 / $1,179.85 / $3,743.66	Facility		$374.53	$1,179.85	$3,743.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.29 / $1,179.85 / $3,519.35	Professional		$376.29	$1,179.85	$3,519.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $1,802.92 / $2,985.09	Professional		$294.45	$1,802.92	$2,985.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $535.50 / $2,216.71 / $2,662.08	Facility		$535.50	$2,216.71	$2,662.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.73 / $1,591.73 / $1,675.19	Facility		$1,591.73	$1,591.73	$1,675.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.04 / $789.45 / $2,917.71	Professional		$408.04	$789.45	$2,917.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,162.15 / $7,162.15 / $9,023.21	Facility		$7,162.15	$7,162.15	$9,023.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $386.90 / $728.82 / $2,695.84	Professional		$386.90	$728.82	$2,695.84
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 $1,654.40 / $2,450.50 / $3,622.78	Professional		$1,654.40	$2,450.50	$3,622.78