Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.54 / $5,116.62 / $19,755.00	Facility		$666.54	$5,116.62	$19,755.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.55 / $526.07 / $963.71	Professional		$402.55	$526.07	$963.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $514.58 / $707.34 / $1,710.63	Facility		$514.58	$707.34	$1,710.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $529.66 / $896.40 / $3,142.13	Professional		$529.66	$896.40	$3,142.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $790.62 / $1,138.95	Professional		$519.15	$790.62	$1,138.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $376.65 / $821.42 / $1,071.50	Facility		$376.65	$821.42	$1,071.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.84 / $838.42 / $1,071.50	Professional		$480.84	$838.42	$1,071.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $620.20 / $1,021.03	Professional		$101.92	$620.20	$1,021.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $614.83 / $741.59 / $831.20	Facility		$614.83	$741.59	$831.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.58 / $514.58 / $517.33	Facility		$514.58	$514.58	$517.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $865.90 / $1,036.38	Professional		$549.54	$865.90	$1,036.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $527.60 / $740.23 / $997.07	Professional		$527.60	$740.23	$997.07
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.01 / $736.02 / $1,109.55	Professional		$491.01	$736.02	$1,109.55