Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.97 / $6,623.55 / $20,680.40	Facility		$449.97	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.94 / $449.97 / $541.49	Professional		$272.94	$449.97	$541.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,327.80 / $5,167.93 / $9,885.68	Facility		$3,327.80	$5,167.93	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $524.37 / $881.26 / $3,069.98	Professional		$524.37	$881.26	$3,069.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,323.83 / $2,323.83 / $2,323.83	Facility		$2,323.83	$2,323.83	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,469.09 / $2,037.92 / $8,133.98	Facility		$1,469.09	$2,037.92	$8,133.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.27 / $1,469.09 / $2,795.84	Professional		$1,076.27	$1,469.09	$2,795.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.87 / $1,432.80 / $1,915.83	Facility		$309.87	$1,432.80	$1,915.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.76 / $480.76 / $581.20	Facility		$480.76	$480.76	$581.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.57 / $828.34 / $986.04	Professional		$548.57	$828.34	$986.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.37 / $691.58 / $931.55	Professional		$524.37	$691.58	$931.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $7,385.00	Facility		$1,120.00	$3,323.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.28 / $742.47 / $1,119.39	Professional		$539.28	$742.47	$1,119.39