Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.89 / $2,479.00 / $17,930.00	Facility		$360.89	$2,479.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.46 / $323.42 / $764.63	Professional		$210.46	$323.42	$764.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $922.84 / $9,879.37 / $25,560.89	Facility		$922.84	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $319.05 / $567.77 / $3,318.00	Professional		$319.05	$567.77	$3,318.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,266.98 / $3,266.98 / $5,442.75	Facility		$3,266.98	$3,266.98	$5,442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.87 / $539.90 / $1,119.50	Professional		$309.87	$539.90	$1,119.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $262.82 / $494.74 / $3,667.07	Facility		$262.82	$494.74	$3,667.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.17 / $488.12 / $1,178.97	Professional		$281.17	$488.12	$1,178.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $596.97 / $975.51	Professional		$93.22	$596.97	$975.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.90 / $577.98 / $743.70	Facility		$379.90	$577.98	$743.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.27 / $508.27 / $2,008.71	Facility		$507.27	$508.27	$2,008.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.36 / $537.00 / $929.85	Professional		$353.36	$537.00	$929.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,907.26 / $9,873.73 / $18,898.13	Facility		$6,907.26	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $518.36 / $859.14	Professional		$316.64	$518.36	$859.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.76 / $785.48 / $1,058.29	Professional		$410.76	$785.48	$1,058.29