Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.41 / $1,698.19 / $17,930.00	Facility		$876.41	$1,698.19	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $599.09 / $1,219.57	Professional		$414.89	$599.09	$1,219.57
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 $819.01 / $1,358.93 / $4,777.92	Professional		$819.01	$1,358.93	$4,777.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,876.24	Facility		$642.00	$642.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.75 / $903.58 / $1,843.25	Professional		$550.75	$903.58	$1,843.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $586.99 / $1,110.22 / $2,120.86	Facility		$586.99	$1,110.22	$2,120.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.27 / $1,110.22 / $1,800.57	Professional		$595.27	$1,110.22	$1,800.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $326.72 / $1,225.28	Professional		$77.42	$326.72	$1,225.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.84 / $1,207.33 / $1,284.39	Facility		$812.84	$1,207.33	$1,284.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.53 / $857.53 / $940.61	Facility		$857.53	$857.53	$940.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.40 / $1,150.75 / $1,605.87	Professional		$771.40	$1,150.75	$1,605.87
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 $636.16 / $1,101.08 / $1,583.64	Professional		$636.16	$1,101.08	$1,583.64
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 $728.80 / $965.66 / $1,749.12	Professional		$728.80	$965.66	$1,749.12