Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.66 / $5,116.62 / $20,680.40	Facility		$205.66	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.66 / $225.67 / $640.00	Professional		$205.66	$225.67	$640.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,409.54 / $5,750.27 / $10,681.81	Facility		$3,409.54	$5,750.27	$10,681.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $287.99 / $490.26 / $1,800.30	Professional		$287.99	$490.26	$1,800.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,049.55 / $2,049.55 / $3,414.53	Facility		$2,049.55	$2,049.55	$3,414.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.98 / $291.98 / $291.98	Professional		$291.98	$291.98	$291.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,793.31 / $3,123.28 / $20,921.22	Facility		$1,793.31	$3,123.28	$20,921.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.27 / $2,300.55 / $4,108.07	Professional		$631.27	$2,300.55	$4,108.07
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 $230.38 / $1,361.67 / $1,974.95	Facility		$230.38	$1,361.67	$1,974.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.45 / $281.97 / $848.85	Facility		$265.45	$281.97	$848.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $470.24 / $578.30	Professional		$290.24	$470.24	$578.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,179.46 / $5,682.43 / $10,681.81	Facility		$4,179.46	$5,682.43	$10,681.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.73 / $429.97 / $585.32	Professional		$270.73	$429.97	$585.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.16 / $446.37 / $596.66	Professional		$264.16	$446.37	$596.66