Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.21 / $1,419.68 / $18,711.00	Facility		$806.21	$1,419.68	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.27 / $660.58 / $1,358.67	Professional		$386.27	$660.58	$1,358.67
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 $748.44 / $1,191.10 / $4,659.41	Professional		$748.44	$1,191.10	$4,659.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,430.19	Facility		$906.00	$906.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.30 / $802.38 / $1,568.45	Professional		$509.30	$802.38	$1,568.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $540.35 / $985.40 / $1,802.15	Facility		$540.35	$985.40	$1,802.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.76 / $1,011.03 / $1,504.66	Professional		$540.76	$1,011.03	$1,504.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $299.74 / $1,046.26	Professional		$76.76	$299.74	$1,046.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,009.77 / $1,098.80	Facility		$711.00	$1,009.77	$1,098.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.86 / $733.86 / $779.79	Facility		$733.86	$733.86	$779.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.45 / $1,024.15 / $1,412.96	Professional		$711.45	$1,024.15	$1,412.96
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 $586.74 / $1,010.23 / $1,395.48	Professional		$586.74	$1,010.23	$1,395.48
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 $635.95 / $833.22 / $1,524.87	Professional		$635.95	$833.22	$1,524.87