Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,470.00 / $21,917.86	Facility		$988.00	$6,470.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.86 / $866.56 / $1,646.46	Professional		$466.86	$866.56	$1,646.46
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 $789.40 / $1,421.77 / $4,869.60	Professional		$789.40	$1,421.77	$4,869.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,430.19	Facility		$906.00	$906.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $905.36 / $1,786.28	Professional		$558.29	$905.36	$1,786.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $655.24 / $1,154.92 / $2,131.19	Facility		$655.24	$1,154.92	$2,131.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.24 / $1,154.92 / $1,805.49	Professional		$655.24	$1,154.92	$1,805.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $315.69 / $1,158.41	Professional		$75.97	$315.69	$1,158.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.40 / $1,046.54 / $1,145.70	Facility		$758.40	$1,046.54	$1,145.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.96 / $756.96 / $781.47	Facility		$756.96	$756.96	$781.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.38 / $1,288.96 / $1,551.14	Professional		$804.38	$1,288.96	$1,551.14
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 $772.00 / $1,124.15 / $1,480.86	Professional		$772.00	$1,124.15	$1,480.86
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 $632.00 / $844.30 / $1,544.42	Professional		$632.00	$844.30	$1,544.42