Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.82 / $1,381.64 / $17,930.00	Facility		$700.82	$1,381.64	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $576.36 / $1,095.08	Professional		$325.16	$576.36	$1,095.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $14,645.34	Facility		$925.25	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $655.40 / $1,151.29 / $4,008.88	Professional		$655.40	$1,151.29	$4,008.88
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 $440.41 / $729.28 / $1,561.51	Professional		$440.41	$729.28	$1,561.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $460.52 / $878.57 / $1,802.15	Facility		$460.52	$878.57	$1,802.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.81 / $887.96 / $1,464.31	Professional		$467.81	$887.96	$1,464.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $297.32 / $1,009.92	Professional		$39.38	$297.32	$1,009.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.35 / $977.53 / $1,080.04	Facility		$613.35	$977.53	$1,080.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.08 / $722.08 / $736.68	Facility		$722.08	$722.08	$736.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.59 / $950.56 / $1,350.37	Professional		$619.59	$950.56	$1,350.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $507.28 / $904.52 / $1,332.15	Professional		$507.28	$904.52	$1,332.15
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 $613.60 / $810.53 / $1,483.35	Professional		$613.60	$810.53	$1,483.35