Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $4,500.00 / $18,711.00	Facility		$699.00	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.55 / $663.97 / $1,261.54	Professional		$385.55	$663.97	$1,261.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $14,645.34	Facility		$925.25	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $601.96 / $1,028.29 / $4,005.00	Professional		$601.96	$1,028.29	$4,005.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,430.19	Facility		$642.00	$642.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.39 / $699.16 / $1,363.19	Professional		$439.39	$699.16	$1,363.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $532.19 / $1,048.14 / $2,131.19	Facility		$532.19	$1,048.14	$2,131.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.19 / $1,041.79 / $1,802.15	Professional		$532.19	$1,041.79	$1,802.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $429.65 / $940.82	Professional		$78.02	$429.65	$940.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $626.71 / $834.15 / $879.04	Facility		$626.71	$834.15	$879.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.03 / $578.03 / $730.50	Facility		$578.03	$578.03	$730.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.16 / $988.41 / $1,190.11	Professional		$617.16	$988.41	$1,190.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $589.51 / $862.51 / $1,161.78	Professional		$589.51	$862.51	$1,161.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.67 / $652.50 / $1,193.27	Professional		$498.67	$652.50	$1,193.27