Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.88 / $1,362.29 / $20,680.40	Facility		$559.88	$1,362.29	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.28 / $572.09 / $1,187.57	Professional		$484.28	$572.09	$1,187.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $466.36 / $699.54 / $1,399.08	Facility		$466.36	$699.54	$1,399.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $647.26 / $1,078.63 / $5,741.42	Professional		$647.26	$1,078.63	$5,741.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.25 / $1,031.24 / $1,384.98	Professional		$634.25	$1,031.24	$1,384.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $561.72 / $1,003.40 / $1,457.69	Facility		$561.72	$1,003.40	$1,457.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.36 / $1,003.40 / $1,457.69	Professional		$587.36	$1,003.40	$1,457.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.19 / $439.38 / $519.98	Professional		$200.19	$439.38	$519.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $768.51 / $898.25 / $1,169.18	Facility		$768.51	$898.25	$1,169.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.65 / $634.65 / $640.26	Facility		$634.65	$634.65	$640.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.54 / $1,066.02 / $1,275.89	Professional		$676.54	$1,066.02	$1,275.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $593.45 / $699.54 / $1,278.02	Facility		$593.45	$699.54	$1,278.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $647.26 / $927.60 / $1,240.58	Professional		$647.26	$927.60	$1,240.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,446.00 / $5,793.00	Facility		$1,120.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.45 / $980.71 / $1,387.00	Professional		$616.45	$980.71	$1,387.00