Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.23 / $2,769.52 / $18,711.00	Facility		$773.23	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.84 / $560.19 / $1,101.35	Professional		$430.84	$560.19	$1,101.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $561.27 / $5,444.45 / $11,041.39	Facility		$561.27	$5,444.45	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $1,034.83 / $3,625.43	Professional		$597.41	$1,034.83	$3,625.43
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 $543.82 / $870.07 / $1,285.31	Professional		$543.82	$870.07	$1,285.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $523.74 / $959.88 / $5,967.13	Facility		$523.74	$959.88	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $937.41 / $1,531.84	Professional		$524.16	$937.41	$1,531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $548.26 / $1,031.71	Professional		$53.39	$548.26	$1,031.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.16 / $814.05 / $850.90	Facility		$629.16	$814.05	$850.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.27 / $580.39 / $839.66	Facility		$561.27	$580.39	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $967.00 / $1,190.36	Professional		$597.41	$967.00	$1,190.36
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 $572.41 / $832.04 / $1,124.58	Professional		$572.41	$832.04	$1,124.58
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 $510.30 / $718.04 / $1,207.83	Professional		$510.30	$718.04	$1,207.83