Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.37 / $1,192.25 / $18,711.00	Facility		$704.37	$1,192.25	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.60 / $610.44 / $1,260.14	Professional		$357.60	$610.44	$1,260.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $715.52 / $2,869.13 / $7,423.29	Facility		$715.52	$2,869.13	$7,423.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $615.38 / $1,032.60 / $3,434.18	Professional		$615.38	$1,032.60	$3,434.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $1,174.76	Facility		$906.00	$906.00	$1,174.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.01 / $716.67 / $1,378.31	Professional		$450.01	$716.67	$1,378.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $491.35 / $624.26 / $1,148.07	Facility		$491.35	$624.26	$1,148.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.15 / $646.50 / $1,158.98	Professional		$493.15	$646.50	$1,158.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $197.99 / $867.99	Professional		$56.28	$197.99	$867.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $612.96 / $845.24 / $913.21	Facility		$612.96	$845.24	$913.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.40 / $603.40 / $622.89	Facility		$603.40	$603.40	$622.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.89 / $938.15 / $1,168.02	Professional		$622.89	$938.15	$1,168.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,093.56 / $2,867.49 / $5,488.32	Facility		$2,093.56	$2,867.49	$5,488.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $852.34 / $1,152.18	Professional		$540.54	$852.34	$1,152.18
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 $524.79 / $703.53 / $1,265.96	Professional		$524.79	$703.53	$1,265.96