Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.92 / $1,569.97 / $17,100.00	Facility		$803.92	$1,569.97	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.69 / $656.90 / $1,539.94	Professional		$390.69	$656.90	$1,539.94
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 $775.07 / $1,281.28 / $4,921.06	Professional		$775.07	$1,281.28	$4,921.06
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 $505.20 / $838.54 / $1,707.42	Professional		$505.20	$838.54	$1,707.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $554.27 / $1,019.70 / $1,835.17	Facility		$554.27	$1,019.70	$1,835.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.41 / $1,019.70 / $1,543.50	Professional		$558.41	$1,019.70	$1,543.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $315.23 / $1,162.01	Professional		$76.76	$315.23	$1,162.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $792.00 / $1,126.27 / $1,200.64	Facility		$792.00	$1,126.27	$1,200.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.55 / $799.55 / $818.94	Facility		$799.55	$799.55	$818.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.26 / $1,069.64 / $1,501.16	Professional		$714.26	$1,069.64	$1,501.16
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 $589.04 / $1,046.11 / $1,490.39	Professional		$589.04	$1,046.11	$1,490.39
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 $710.64 / $930.60 / $1,624.33	Professional		$710.64	$930.60	$1,624.33