Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.89 / $1,280.75 / $17,100.00	Facility		$447.89	$1,280.75	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.72 / $530.49 / $1,242.85	Professional		$244.72	$530.49	$1,242.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.88 / $5,772.11 / $14,934.15	Facility		$1,143.88	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $443.81 / $1,065.08 / $4,157.26	Professional		$443.81	$1,065.08	$4,157.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.01 / $728.28 / $1,634.47	Professional		$386.01	$728.28	$1,634.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $391.85 / $736.86 / $1,828.65	Facility		$391.85	$736.86	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.50 / $687.12 / $1,437.33	Professional		$387.50	$687.12	$1,437.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.39 / $876.48 / $1,422.18	Professional		$136.39	$876.48	$1,422.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.40 / $916.56 / $1,081.38	Facility		$482.40	$916.56	$1,081.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $737.60 / $743.83 / $839.66	Facility		$737.60	$743.83	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.68 / $729.56 / $1,399.89	Professional		$420.68	$729.56	$1,399.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,768.81 / $11,041.39	Facility		$4,408.99	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.87 / $751.40 / $1,249.24	Professional		$389.87	$751.40	$1,249.24
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 $662.20 / $1,058.65 / $1,562.17	Professional		$662.20	$1,058.65	$1,562.17