Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.38 / $1,428.78 / $14,464.32	Facility		$812.38	$1,428.78	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.50 / $878.13 / $1,299.34	Professional		$529.50	$878.13	$1,299.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $1,646.32 / $3,642.98	Facility		$276.02	$1,646.32	$3,642.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $721.60 / $1,265.84 / $4,598.39	Professional		$721.60	$1,265.84	$4,598.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $678.06	Facility		$479.00	$479.00	$678.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.23 / $941.08 / $1,650.07	Professional		$532.23	$941.08	$1,650.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $345.92 / $771.50 / $1,345.40	Facility		$345.92	$771.50	$1,345.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $819.86 / $1,345.40	Professional		$348.08	$819.86	$1,345.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $288.02 / $1,000.89	Professional		$73.62	$288.02	$1,000.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.27 / $1,016.81 / $1,407.00	Facility		$758.27	$1,016.81	$1,407.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $699.43 / $721.60	Facility		$276.02	$699.43	$721.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.60 / $1,128.97 / $1,388.14	Professional		$721.60	$1,128.97	$1,388.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,201.98 / $1,646.32 / $3,151.02	Facility		$1,201.98	$1,646.32	$3,151.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $1,013.18 / $1,335.56	Professional		$665.74	$1,013.18	$1,335.56
United Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $1,962.12 / $3,707.82	Facility		$483.00	$1,962.12	$3,707.82
United Facility/Professional Professional Modifier Low / Median / High Price $663.96 / $990.35 / $1,491.27	Professional		$663.96	$990.35	$1,491.27