Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.66 / $3,810.00 / $18,711.00	Facility		$907.66	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.38 / $545.77 / $1,245.31	Professional		$425.38	$545.77	$1,245.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $670.44 / $2,886.70	Facility		$55.00	$670.44	$2,886.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $1,241.63 / $4,490.33	Professional		$710.30	$1,241.63	$4,490.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.24 / $1,021.34 / $1,497.64	Professional		$598.24	$1,021.34	$1,497.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.64 / $998.57 / $1,221.25	Facility		$588.64	$998.57	$1,221.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.64 / $998.57 / $1,255.38	Professional		$588.64	$998.57	$1,255.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $300.92 / $986.17	Professional		$65.66	$300.92	$986.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $690.41 / $946.04 / $1,011.70	Facility		$690.41	$946.04	$1,011.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $670.44 / $670.44 / $690.07	Facility		$670.44	$670.44	$690.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $1,148.31 / $1,415.32	Professional		$710.30	$1,148.31	$1,415.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $683.76 / $992.67 / $1,337.11	Professional		$683.76	$992.67	$1,337.11
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.12 / $974.27 / $1,449.23	Professional		$603.12	$974.27	$1,449.23