Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.27 / $1,697.11 / $20,680.40	Facility		$730.27	$1,697.11	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $730.27 / $1,543.37	Professional		$542.79	$730.27	$1,543.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $837.60 / $13,249.10 / $26,963.11	Facility		$837.60	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $880.12 / $1,547.12 / $5,401.35	Professional		$880.12	$1,547.12	$5,401.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.11 / $1,289.94 / $1,884.99	Professional		$727.11	$1,289.94	$1,884.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $768.41 / $1,335.87 / $8,968.34	Facility		$768.41	$1,335.87	$8,968.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.41 / $1,260.98 / $2,598.39	Professional		$768.41	$1,260.98	$2,598.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $659.92 / $1,399.74	Professional		$97.96	$659.92	$1,399.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $873.67 / $1,147.04 / $1,253.57	Facility		$873.67	$1,147.04	$1,253.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.60 / $837.60 / $855.05	Facility		$837.60	$837.60	$855.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.12 / $1,426.26 / $1,753.69	Professional		$880.12	$1,426.26	$1,753.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $854.24 / $1,229.99 / $1,656.77	Professional		$854.24	$1,229.99	$1,656.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.31 / $1,242.50 / $1,799.70	Professional		$764.31	$1,242.50	$1,799.70