Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.26 / $1,844.67 / $14,464.32	Facility		$293.26	$1,844.67	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $633.38 / $1,435.66	Professional		$190.76	$633.38	$1,435.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $701.51 / $5,425.50 / $11,041.39	Facility		$701.51	$5,425.50	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.42 / $1,388.74 / $5,505.44	Professional		$290.42	$1,388.74	$5,505.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.29 / $839.29 / $1,398.24	Facility		$839.29	$839.29	$1,398.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.75 / $522.52 / $2,283.10	Professional		$257.75	$522.52	$2,283.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $942.07 / $2,000.64	Facility		$257.77	$942.07	$2,000.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $853.89 / $1,877.42	Professional		$255.10	$853.89	$1,877.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $1,160.10 / $1,914.26	Professional		$181.78	$1,160.10	$1,914.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.38 / $1,372.80 / $1,570.12	Facility		$344.38	$1,372.80	$1,570.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.51 / $1,020.94 / $1,045.98	Facility		$701.51	$1,020.94	$1,045.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.27 / $532.60 / $1,953.62	Professional		$275.27	$532.60	$1,953.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,742.95 / $5,768.81 / $11,041.39	Facility		$3,742.95	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.25 / $749.91 / $1,729.12	Professional		$255.25	$749.91	$1,729.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $944.42 / $1,592.11 / $2,145.09	Professional		$944.42	$1,592.11	$2,145.09