Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.32 / $1,339.60 / $17,930.00	Facility		$649.32	$1,339.60	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.91 / $545.64 / $1,352.00	Professional		$318.91	$545.64	$1,352.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $940.61 / $6,622.22 / $14,645.34	Facility		$940.61	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $639.02 / $1,099.83 / $3,928.48	Professional		$639.02	$1,099.83	$3,928.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,430.19	Facility		$642.00	$642.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.56 / $706.15 / $1,522.56	Professional		$398.56	$706.15	$1,522.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $427.82 / $800.03 / $1,802.15	Facility		$427.82	$800.03	$1,802.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.95 / $817.00 / $1,418.57	Professional		$437.95	$817.00	$1,418.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $283.22 / $1,011.07	Professional		$39.38	$283.22	$1,011.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $599.98 / $951.40 / $1,057.26	Facility		$599.98	$951.40	$1,057.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.59 / $707.59 / $925.25	Facility		$707.59	$707.59	$925.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.29 / $878.75 / $1,321.89	Professional		$575.29	$878.75	$1,321.89
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 $473.55 / $817.80 / $1,301.53	Professional		$473.55	$817.80	$1,301.53
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 $579.28 / $793.81 / $1,493.41	Professional		$579.28	$793.81	$1,493.41