Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $6,623.55 / $20,680.40	Facility		$29.50	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $323.98	Professional		$29.50	$29.50	$323.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.89 / $1,779.82 / $3,404.60	Facility		$1,016.89	$1,779.82	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $130.94 / $292.45	Professional		$70.38	$130.94	$292.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $1,110.00	Facility		$511.44	$777.59	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $393.56 / $681.92 / $1,723.14	Facility		$393.56	$681.92	$1,723.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $523.90 / $796.91	Professional		$13.10	$523.90	$796.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $492.44 / $1,520.00 / $79,999.20	Facility		$492.44	$1,520.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $350.25 / $350.25	Facility		$236.51	$350.25	$350.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,191.58 / $1,778.80 / $3,404.60	Facility		$1,191.58	$1,778.80	$3,404.60
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00