Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.48 / $2,769.52 / $18,711.00	Facility		$749.48	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.30 / $529.77 / $1,071.31	Professional		$351.30	$529.77	$1,071.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,597.82 / $8,052.47 / $15,403.47	Facility		$4,597.82	$8,052.47	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $564.79 / $954.69 / $6,221.00	Professional		$564.79	$954.69	$6,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $843.34 / $1,246.68	Professional		$527.00	$843.34	$1,246.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $507.78 / $928.45 / $5,078.14	Facility		$507.78	$928.45	$5,078.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.26 / $905.34 / $1,918.07	Professional		$508.26	$905.34	$1,918.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $548.76 / $1,031.71	Professional		$53.39	$548.76	$1,031.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $789.93 / $824.77	Facility		$573.65	$789.93	$824.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.69 / $562.57 / $1,048.55	Facility		$542.69	$562.57	$1,048.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.05 / $936.39 / $1,153.82	Professional		$579.05	$936.39	$1,153.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $553.48 / $806.10 / $1,090.05	Professional		$553.48	$806.10	$1,090.05
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.41 / $898.69 / $1,170.18	Professional		$520.41	$898.69	$1,170.18