Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.05 / $4,500.00 / $18,711.00	Facility		$698.05	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $572.04 / $1,086.88	Professional		$321.10	$572.04	$1,086.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $499.21 / $3,930.50	Facility		$55.00	$499.21	$3,930.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $523.45 / $938.34 / $3,199.50	Professional		$523.45	$938.34	$3,199.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $734.00	Facility		$734.00	$734.00	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.09 / $605.75 / $1,165.94	Professional		$380.09	$605.75	$1,165.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $448.24 / $552.82 / $945.22	Facility		$448.24	$552.82	$945.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.37 / $576.65 / $965.54	Professional		$448.37	$576.65	$965.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $368.86 / $789.86	Professional		$69.89	$368.86	$789.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $523.74 / $723.60 / $755.09	Facility		$523.74	$723.60	$755.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.21 / $499.21 / $515.04	Facility		$499.21	$499.21	$515.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.14 / $850.69 / $1,022.30	Professional		$530.14	$850.69	$1,022.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $509.12 / $740.89 / $975.98	Professional		$509.12	$740.89	$975.98
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.00 / $5,793.00	Facility		$500.00	$1,050.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.47 / $583.21 / $1,067.32	Professional		$432.47	$583.21	$1,067.32