Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.98 / $5,116.62 / $20,680.40	Facility		$574.98	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $574.98 / $878.53	Professional		$227.51	$574.98	$878.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $898.92 / $1,647.26 / $3,215.81	Facility		$898.92	$1,647.26	$3,215.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $861.63 / $1,479.50 / $5,725.95	Professional		$861.63	$1,479.50	$5,725.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $697.61	Facility		$479.00	$479.00	$697.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $352.22 / $1,262.99 / $2,191.37	Facility		$352.22	$1,262.99	$2,191.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.08 / $1,284.46 / $2,201.64	Professional		$353.08	$1,284.46	$2,201.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $75.00 / $1,688.31	Professional		$45.00	$75.00	$1,688.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $703.68 / $938.24 / $1,264.78	Facility		$703.68	$938.24	$1,264.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $844.85 / $898.92	Facility		$276.02	$844.85	$898.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.28 / $1,419.08 / $1,784.27	Professional		$925.28	$1,419.08	$1,784.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,201.98 / $1,646.32 / $3,151.02	Facility		$1,201.98	$1,646.32	$3,151.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $861.63 / $1,188.19 / $1,642.88	Professional		$861.63	$1,188.19	$1,642.88
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.82 / $1,041.50 / $1,767.25	Professional		$707.82	$1,041.50	$1,767.25