Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.81 / $2,769.52 / $18,711.00	Facility		$950.81	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.37 / $668.91 / $1,387.93	Professional		$473.37	$668.91	$1,387.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $306.32 / $1,935.85 / $4,281.22	Facility		$306.32	$1,935.85	$4,281.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $735.24 / $1,284.01 / $4,443.53	Professional		$735.24	$1,284.01	$4,443.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.17 / $449.17 / $748.32	Facility		$449.17	$449.17	$748.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.26 / $1,069.90 / $1,571.38	Professional		$685.26	$1,069.90	$1,571.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $503.13 / $1,081.21 / $1,870.55	Facility		$503.13	$1,081.21	$1,870.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.13 / $1,034.30 / $1,354.20	Professional		$503.13	$1,034.30	$1,354.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $807.07 / $1,324.34	Professional		$126.64	$807.07	$1,324.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $751.17 / $1,020.55 / $1,047.21	Facility		$751.17	$1,020.55	$1,047.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.32 / $697.17 / $714.29	Facility		$306.32	$697.17	$714.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.24 / $1,191.47 / $1,465.00	Professional		$735.24	$1,191.47	$1,465.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.56 / $1,934.75 / $3,703.07	Facility		$1,412.56	$1,934.75	$3,703.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $711.02 / $1,027.28 / $1,384.04	Professional		$711.02	$1,027.28	$1,384.04
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.96 / $1,117.39 / $1,569.42	Professional		$674.96	$1,117.39	$1,569.42