Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.17 / $1,884.02 / $20,680.40	Facility		$837.17	$1,884.02	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.28 / $837.17 / $1,713.36	Professional		$552.28	$837.17	$1,713.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $5,444.45 / $11,041.39	Facility		$839.66	$5,444.45	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $915.85 / $1,590.28 / $5,534.70	Professional		$915.85	$1,590.28	$5,534.70
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 $808.97 / $1,330.97 / $1,961.76	Professional		$808.97	$1,330.97	$1,961.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $800.94 / $1,437.33 / $5,453.39	Facility		$800.94	$1,437.33	$5,453.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.72 / $1,388.24 / $1,943.43	Professional		$818.72	$1,388.24	$1,943.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $773.97 / $1,478.18	Professional		$99.99	$773.97	$1,478.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $941.29 / $1,254.91 / $1,303.15	Facility		$941.29	$1,254.91	$1,303.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $861.61 / $887.04	Facility		$839.66	$861.61	$887.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.85 / $1,479.62 / $1,819.30	Professional		$915.85	$1,479.62	$1,819.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $878.72 / $1,268.58 / $1,718.76	Professional		$878.72	$1,268.58	$1,718.76
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 $786.66 / $1,311.11 / $1,849.90	Professional		$786.66	$1,311.11	$1,849.90