Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.24 / $1,188.76 / $17,930.00	Facility		$694.24	$1,188.76	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $589.05 / $1,246.52	Professional		$353.37	$589.05	$1,246.52
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 $617.86 / $1,047.31 / $3,379.76	Professional		$617.86	$1,047.31	$3,379.76
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 $432.43 / $694.24 / $1,326.80	Professional		$432.43	$694.24	$1,326.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $471.50 / $860.96 / $2,120.86	Facility		$471.50	$860.96	$2,120.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.45 / $878.52 / $1,485.98	Professional		$477.45	$878.52	$1,485.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $197.99 / $867.99	Professional		$56.28	$197.99	$867.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.25 / $853.58 / $905.84	Facility		$617.25	$853.58	$905.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.04 / $597.04 / $666.23	Facility		$597.04	$597.04	$666.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.86 / $910.34 / $1,156.77	Professional		$617.86	$910.34	$1,156.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $523.45 / $839.70 / $1,170.83	Professional		$523.45	$839.70	$1,170.83
United Facility/Professional Facility Modifier Low / Median / High Price $653.00 / $7,870.48 / $13,047.65	Facility		$653.00	$7,870.48	$13,047.65
United Facility/Professional Professional Modifier Low / Median / High Price $516.00 / $678.93 / $1,229.77	Professional		$516.00	$678.93	$1,229.77