Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.79 / $1,802.64 / $20,680.40	Facility		$779.79	$1,802.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $779.79 / $1,639.35	Professional		$577.04	$779.79	$1,639.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $890.15 / $4,685.16	Facility		$55.00	$890.15	$4,685.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $941.27 / $1,648.38 / $5,735.25	Professional		$941.27	$1,648.38	$5,735.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.87 / $1,380.89 / $2,024.36	Professional		$815.87	$1,380.89	$2,024.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $780.64 / $1,319.67 / $1,665.90	Facility		$780.64	$1,319.67	$1,665.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.96 / $1,330.07 / $1,696.99	Professional		$802.96	$1,330.07	$1,696.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $742.83 / $1,499.54	Professional		$100.07	$742.83	$1,499.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $919.73 / $1,243.43 / $1,340.67	Facility		$919.73	$1,243.43	$1,340.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.15 / $890.15 / $914.46	Facility		$890.15	$890.15	$914.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.27 / $1,520.35 / $1,875.54	Professional		$941.27	$1,520.35	$1,875.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $907.83 / $1,314.93 / $1,771.89	Professional		$907.83	$1,314.93	$1,771.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,303.00 / $1,862.00 / $10,522.00	Facility		$1,303.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $1,400.33 / $1,917.48	Professional		$836.00	$1,400.33	$1,917.48