Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.23 / $1,662.99 / $20,680.40	Facility		$751.23	$1,662.99	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.13 / $751.23 / $1,512.35	Professional		$505.13	$751.23	$1,512.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $773.72 / $5,644.02 / $11,041.39	Facility		$773.72	$5,644.02	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $803.85 / $1,358.78 / $11,060.00	Professional		$803.85	$1,358.78	$11,060.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.33 / $1,198.46 / $1,768.25	Professional		$724.33	$1,198.46	$1,768.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $721.14 / $1,285.70 / $6,254.64	Facility		$721.14	$1,285.70	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.14 / $1,243.20 / $1,677.18	Professional		$721.14	$1,243.20	$1,677.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $688.71 / $1,337.63	Professional		$99.37	$688.71	$1,337.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.21 / $1,119.57 / $1,171.83	Facility		$846.21	$1,119.57	$1,171.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.72 / $773.72 / $799.29	Facility		$773.72	$773.72	$799.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.73 / $1,333.26 / $1,639.34	Professional		$822.73	$1,333.26	$1,639.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,882.14 / $11,041.39	Facility		$4,408.99	$5,882.14	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $789.10 / $1,142.11 / $1,548.74	Professional		$789.10	$1,142.11	$1,548.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.75 / $1,176.01 / $1,665.48	Professional		$725.75	$1,176.01	$1,665.48