Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.74 / $860.75 / $18,711.00	Facility		$542.74	$860.75	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $454.27 / $1,175.65	Professional		$270.39	$454.27	$1,175.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $611.54 / $6,207.20 / $12,667.56	Facility		$611.54	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $532.94 / $972.03 / $3,380.48	Professional		$532.94	$972.03	$3,380.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $2,430.19	Facility		$1,031.00	$1,031.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.99 / $603.67 / $1,325.55	Professional		$346.99	$603.67	$1,325.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $365.42 / $713.50 / $1,802.15	Facility		$365.42	$713.50	$1,802.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.04 / $715.26 / $1,303.80	Professional		$368.04	$715.26	$1,303.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $270.96 / $881.29	Professional		$39.46	$270.96	$881.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $516.91 / $844.30 / $917.23	Facility		$516.91	$844.30	$917.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.54 / $611.54 / $925.25	Facility		$611.54	$611.54	$925.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.50 / $738.75 / $1,151.88	Professional		$479.50	$738.75	$1,151.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,832.13 / $6,618.43 / $12,667.56	Facility		$4,832.13	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.24 / $682.54 / $1,131.89	Professional		$392.24	$682.54	$1,131.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.49 / $704.12 / $1,280.77	Professional		$528.49	$704.12	$1,280.77