Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.50 / $1,154.66 / $17,100.00	Facility		$511.50	$1,154.66	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.99 / $508.72 / $853.33	Professional		$284.99	$508.72	$853.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,307.32 / $9,879.37 / $18,898.13	Facility		$1,307.32	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $482.74 / $786.26 / $3,393.85	Professional		$482.74	$786.26	$3,393.85
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 $430.00 / $730.99 / $1,164.28	Professional		$430.00	$730.99	$1,164.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $403.00 / $710.74 / $3,140.04	Facility		$403.00	$710.74	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.41 / $702.69 / $1,236.16	Professional		$410.41	$702.69	$1,236.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $449.31 / $903.68	Professional		$49.61	$449.31	$903.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $494.46 / $748.70 / $911.11	Facility		$494.46	$748.70	$911.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.14 / $526.91 / $1,470.05	Facility		$519.14	$526.91	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.45 / $688.23 / $990.65	Professional		$480.45	$688.23	$990.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $443.19 / $647.05 / $895.30	Professional		$443.19	$647.05	$895.30
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 $518.77 / $827.04 / $1,149.54	Professional		$518.77	$827.04	$1,149.54