Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.96 / $5,116.62 / $18,800.00	Facility		$795.96	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.21 / $507.01 / $1,038.96	Professional		$375.21	$507.01	$1,038.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $579.84 / $8,854.69 / $16,947.71	Facility		$579.84	$8,854.69	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $593.19 / $1,016.92 / $3,827.26	Professional		$593.19	$1,016.92	$3,827.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.92 / $895.65 / $1,310.85	Professional		$505.92	$895.65	$1,310.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $902.82 / $7,931.04	Facility		$516.00	$902.82	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.28 / $849.43 / $2,671.90	Professional		$539.28	$849.43	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $331.17 / $915.18	Professional		$74.23	$331.17	$915.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $577.29 / $784.57 / $869.66	Facility		$577.29	$784.57	$869.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.84 / $593.19 / $1,367.95	Facility		$579.84	$593.19	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.58 / $987.40 / $1,216.61	Professional		$610.58	$987.40	$1,216.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $591.36 / $853.31 / $1,149.38	Professional		$591.36	$853.31	$1,149.38
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 $520.74 / $844.70 / $1,246.45	Professional		$520.74	$844.70	$1,246.45