Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.68 / $1,392.34 / $17,930.00	Facility		$811.68	$1,392.34	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.37 / $726.19 / $1,456.04	Professional		$413.37	$726.19	$1,456.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $1,646.32 / $3,377.82	Facility		$276.02	$1,646.32	$3,377.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $1,227.65 / $4,071.45	Professional		$722.52	$1,227.65	$4,071.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $697.61	Facility		$479.00	$479.00	$697.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.10 / $833.56 / $1,617.96	Professional		$493.10	$833.56	$1,617.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $355.89 / $690.00 / $1,313.45	Facility		$355.89	$690.00	$1,313.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.12 / $715.11 / $1,313.45	Professional		$358.12	$715.11	$1,313.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $287.95 / $1,000.89	Professional		$73.62	$287.95	$1,000.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.94 / $980.98 / $1,059.27	Facility		$660.94	$980.98	$1,059.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $698.07 / $722.52	Facility		$276.02	$698.07	$722.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $1,109.81 / $1,363.26	Professional		$722.52	$1,109.81	$1,363.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.59 / $1,646.32 / $3,151.02	Facility		$1,195.59	$1,646.32	$3,151.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $641.72 / $1,005.61 / $1,332.97	Professional		$641.72	$1,005.61	$1,332.97
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.08 / $795.52 / $1,483.35	Professional		$611.08	$795.52	$1,483.35