Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.25 / $2,769.52 / $14,464.32	Facility		$269.25	$2,769.52	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $834.27 / $2,046.88	Professional		$219.50	$834.27	$2,046.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $960.12 / $10,298.96 / $20,959.32	Facility		$960.12	$10,298.96	$20,959.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $222.66 / $2,205.71 / $8,532.56	Professional		$222.66	$2,205.71	$8,532.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $642.00	Facility		$642.00	$642.00	$642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $871.58 / $3,142.15	Professional		$183.50	$871.58	$3,142.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $266.91 / $1,476.48 / $3,292.85	Facility		$266.91	$1,476.48	$3,292.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.75 / $1,078.49 / $3,028.13	Professional		$255.75	$1,078.49	$3,028.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $303.19 / $1,666.33 / $2,942.34	Professional		$303.19	$1,666.33	$2,942.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.12 / $2,176.92 / $2,405.84	Facility		$501.12	$2,176.92	$2,405.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.93 / $1,602.71 / $1,602.71	Facility		$326.93	$1,602.71	$1,602.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.78 / $471.15 / $2,956.39	Professional		$209.78	$471.15	$2,956.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $617.85 / $2,859.58	Professional		$198.66	$617.85	$2,859.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,511.84 / $1,890.89 / $3,299.13	Professional		$1,511.84	$1,890.89	$3,299.13