Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.90 / $6,470.00 / $20,680.40	Facility		$855.90	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.62 / $855.90 / $1,626.21	Professional		$493.62	$855.90	$1,626.21
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 $779.00 / $1,412.86 / $4,797.00	Professional		$779.00	$1,412.86	$4,797.00
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 $570.55 / $900.42 / $1,753.47	Professional		$570.55	$900.42	$1,753.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $690.49 / $1,274.19 / $2,522.36	Facility		$690.49	$1,274.19	$2,522.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.49 / $1,268.27 / $2,132.91	Professional		$690.49	$1,268.27	$2,132.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $301.95 / $1,080.41	Professional		$77.20	$301.95	$1,080.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $797.72 / $1,081.38 / $1,130.29	Facility		$797.72	$1,081.38	$1,130.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.92 / $742.92 / $957.76	Facility		$742.92	$742.92	$957.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.56 / $1,268.42 / $1,530.28	Professional		$793.56	$1,268.42	$1,530.28
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 $757.68 / $1,109.03 / $1,493.84	Professional		$757.68	$1,109.03	$1,493.84
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 $646.05 / $851.18 / $1,541.76	Professional		$646.05	$851.18	$1,541.76