Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $2,323.00 / $14,464.32	Facility		$365.92	$2,323.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $631.82 / $1,628.58	Professional		$182.15	$631.82	$1,628.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.58 / $9,879.37 / $18,898.13	Facility		$1,259.58	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $344.15 / $1,413.29 / $8,265.00	Professional		$344.15	$1,413.29	$8,265.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.87 / $648.04 / $2,376.96	Professional		$319.87	$648.04	$2,376.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $321.00 / $1,066.30 / $3,140.04	Facility		$321.00	$1,066.30	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $853.04 / $2,359.84	Professional		$316.20	$853.04	$2,359.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $1,263.53 / $2,062.54	Professional		$197.00	$1,263.53	$2,062.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $395.97 / $1,356.60 / $1,602.64	Facility		$395.97	$1,356.60	$1,602.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.27 / $1,088.56 / $1,470.05	Facility		$1,065.27	$1,088.56	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.52 / $662.69 / $2,034.95	Professional		$342.52	$662.69	$2,034.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,660.15 / $18,898.13	Facility		$6,079.47	$9,660.15	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.33 / $943.66 / $1,804.19	Professional		$319.33	$943.66	$1,804.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.56 / $1,658.40 / $2,270.87	Professional		$956.56	$1,658.40	$2,270.87