Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.56 / $3,554.94 / $14,464.32	Facility		$318.56	$3,554.94	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $1,420.00 / $4,270.27	Professional		$213.17	$1,420.00	$4,270.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,454.55 / $3,217.68	Facility		$55.00	$2,454.55	$3,217.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $313.45 / $3,286.51 / $13,214.00	Professional		$313.45	$3,286.51	$13,214.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.73 / $1,933.15 / $5,509.23	Professional		$275.73	$1,933.15	$5,509.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $284.00 / $1,511.87 / $4,642.58	Facility		$284.00	$1,511.87	$4,642.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.32 / $1,511.87 / $4,664.60	Professional		$301.32	$1,511.87	$4,664.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $454.87 / $2,920.11 / $4,802.24	Professional		$454.87	$2,920.11	$4,802.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.41 / $3,480.36 / $3,733.91	Facility		$344.41	$3,480.36	$3,733.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.55 / $2,454.55 / $2,596.14	Facility		$2,454.55	$2,454.55	$2,596.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.12 / $574.85 / $4,821.76	Professional		$297.12	$574.85	$4,821.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.48 / $559.29 / $4,163.03	Professional		$279.48	$559.29	$4,163.03
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,326.08 / $3,343.72 / $5,380.72	Professional		$2,326.08	$3,343.72	$5,380.72