Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.02 / $4,500.00 / $18,711.00	Facility		$755.02	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.59 / $755.02 / $1,434.54	Professional		$427.59	$755.02	$1,434.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $11,522.14 / $22,040.55	Facility		$2,031.87	$11,522.14	$22,040.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $698.54 / $1,231.25 / $4,226.25	Professional		$698.54	$1,231.25	$4,226.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $4,960.67	Facility		$642.00	$642.00	$4,960.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.35 / $790.06 / $1,549.43	Professional		$501.35	$790.06	$1,549.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.87 / $1,222.18 / $4,350.34	Facility		$602.87	$1,222.18	$4,350.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.87 / $1,165.78 / $3,678.65	Professional		$602.87	$1,165.78	$3,678.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $283.56 / $949.17	Professional		$73.20	$283.56	$949.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $686.54 / $944.70 / $994.95	Facility		$686.54	$944.70	$994.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.32 / $652.32 / $816.52	Facility		$652.32	$652.32	$816.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.54 / $1,116.24 / $1,347.04	Professional		$698.54	$1,116.24	$1,347.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,600.42 / $11,522.14 / $22,040.55	Facility		$7,600.42	$11,522.14	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $665.28 / $976.24 / $1,314.97	Professional		$665.28	$976.24	$1,314.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,415.00 / $13,882.34 / $23,014.06	Facility		$1,415.00	$13,882.34	$23,014.06
United Facility/Professional Professional Modifier Low / Median / High Price $564.50 / $747.30 / $1,353.59	Professional		$564.50	$747.30	$1,353.59