Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.48 / $1,392.55 / $17,930.00	Facility		$501.48	$1,392.55	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.04 / $465.82 / $816.24	Professional		$359.04	$465.82	$816.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $368.34 / $857.36 / $2,135.94	Facility		$368.34	$857.36	$2,135.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $359.51 / $583.12 / $2,839.00	Professional		$359.51	$583.12	$2,839.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.24 / $379.24 / $642.00	Facility		$379.24	$379.24	$642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $623.79 / $887.12	Professional		$302.14	$623.79	$887.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.47 / $644.39 / $1,242.07	Facility		$193.47	$644.39	$1,242.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.69 / $659.23 / $1,229.17	Professional		$194.69	$659.23	$1,229.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $275.99 / $595.48	Professional		$45.26	$275.99	$595.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $439.21 / $715.07 / $1,001.00	Facility		$439.21	$715.07	$1,001.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.61 / $356.96 / $368.34	Facility		$261.61	$356.96	$368.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $505.33 / $755.46	Professional		$351.25	$505.33	$755.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.59 / $846.81 / $1,579.18	Facility		$630.59	$846.81	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.67 / $516.63 / $1,108.21	Professional		$289.67	$516.63	$1,108.21
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.53 / $711.36 / $1,181.60	Professional		$505.53	$711.36	$1,181.60