Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $6,470.00 / $20,680.40	Facility		$801.00	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.06 / $701.69 / $1,333.21	Professional		$407.06	$701.69	$1,333.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$14,605.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $637.45 / $1,137.73 / $3,931.28	Professional		$637.45	$1,137.73	$3,931.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,876.24	Facility		$734.00	$734.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $736.09 / $1,439.36	Professional		$467.10	$736.09	$1,439.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $563.85 / $1,136.29 / $2,522.36	Facility		$563.85	$1,136.29	$2,522.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.85 / $1,090.32 / $2,132.91	Professional		$563.85	$1,090.32	$2,132.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $275.97 / $895.48	Professional		$70.00	$275.97	$895.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $653.16 / $880.38 / $925.94	Facility		$653.16	$880.38	$925.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.92 / $607.92 / $957.76	Facility		$607.92	$607.92	$957.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.09 / $1,038.63 / $1,253.60	Professional		$650.09	$1,038.63	$1,253.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $6,600.21 / $12,632.68	Facility		$4,818.83	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $908.52 / $1,223.76	Professional		$620.00	$908.52	$1,223.76
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 $535.99 / $722.70 / $1,296.75	Professional		$535.99	$722.70	$1,296.75