Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.26 / $2,769.52 / $18,711.00	Facility		$925.26	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.30 / $562.14 / $1,227.29	Professional		$460.30	$562.14	$1,227.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $909.12 / $2,010.57	Facility		$150.16	$909.12	$2,010.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $722.69 / $1,232.79 / $4,653.75	Professional		$722.69	$1,232.79	$4,653.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.86 / $231.86 / $386.27	Facility		$231.86	$231.86	$386.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.56 / $1,050.93 / $1,538.20	Professional		$665.56	$1,050.93	$1,538.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.04 / $963.39 / $1,376.01	Facility		$288.04	$963.39	$1,376.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.33 / $982.75 / $1,315.46	Professional		$353.33	$982.75	$1,315.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $841.19 / $1,387.86	Professional		$131.34	$841.19	$1,387.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $702.45 / $923.61 / $1,045.86	Facility		$702.45	$923.61	$1,045.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $695.36 / $713.38	Facility		$150.16	$695.36	$713.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.50 / $1,189.95 / $1,463.13	Professional		$749.50	$1,189.95	$1,463.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $663.37 / $908.60 / $1,739.05	Facility		$663.37	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $709.17 / $1,026.20 / $1,382.27	Professional		$709.17	$1,026.20	$1,382.27
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.40 / $1,047.58 / $1,500.40	Professional		$638.40	$1,047.58	$1,500.40