Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.66 / $1,875.53 / $17,930.00	Facility		$910.66	$1,875.53	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.28 / $755.92 / $1,829.86	Professional		$451.28	$755.92	$1,829.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $494.12 / $6,190.11 / $12,632.68	Facility		$494.12	$6,190.11	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $846.97 / $1,474.26 / $5,189.12	Professional		$846.97	$1,474.26	$5,189.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $1,024.35	Facility		$479.00	$479.00	$1,024.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $966.93 / $1,999.61	Professional		$558.29	$966.93	$1,999.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $507.88 / $883.96 / $1,797.97	Facility		$507.88	$883.96	$1,797.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.19 / $930.74 / $1,674.15	Professional		$517.19	$930.74	$1,674.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $387.59 / $1,344.53	Professional		$78.79	$387.59	$1,344.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $801.59 / $1,302.14 / $1,394.94	Facility		$801.59	$1,302.14	$1,394.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.12 / $933.63 / $951.47	Facility		$494.12	$933.63	$951.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.29 / $1,231.96 / $1,750.11	Professional		$807.29	$1,231.96	$1,750.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $663.89 / $1,089.13 / $1,717.23	Professional		$663.89	$1,089.13	$1,717.23
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.00 / $6,857.00	Facility		$500.00	$1,050.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.48 / $1,095.10 / $1,970.58	Professional		$837.48	$1,095.10	$1,970.58