Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.30 / $5,116.62 / $20,680.40	Facility		$411.30	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.66 / $411.30 / $443.34	Professional		$311.66	$411.30	$443.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.97 / $1,993.85 / $3,814.01	Facility		$1,230.97	$1,993.85	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $449.99 / $771.09 / $2,847.83	Professional		$449.99	$771.09	$2,847.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.85 / $536.85 / $894.39	Facility		$536.85	$536.85	$894.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.72 / $722.32 / $1,030.06	Professional		$581.72	$722.32	$1,030.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $391.84 / $787.06 / $1,942.50	Facility		$391.84	$787.06	$1,942.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $787.06 / $1,112.95	Professional		$276.56	$787.06	$1,112.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $77.33 / $334.40	Professional		$11.04	$77.33	$334.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.34 / $508.58 / $710.23	Facility		$245.34	$508.58	$710.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.34 / $441.22 / $446.03	Facility		$331.34	$441.22	$446.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.34 / $744.00 / $914.80	Professional		$474.34	$744.00	$914.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,454.88 / $1,992.71 / $3,814.01	Facility		$1,454.88	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $449.99 / $674.54 / $918.26	Professional		$449.99	$674.54	$918.26
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.20 / $710.22 / $986.08	Professional		$427.20	$710.22	$986.08