Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.06 / $2,291.00 / $17,930.00	Facility		$298.06	$2,291.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $298.06 / $545.47	Professional		$193.20	$298.06	$545.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,308.60 / $9,124.02 / $17,453.22	Facility		$5,308.60	$9,124.02	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $496.25 / $1,880.00	Professional		$293.58	$496.25	$1,880.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.67 / $443.34 / $649.29	Professional		$253.67	$443.34	$649.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $266.70 / $443.90 / $4,358.93	Facility		$266.70	$443.90	$4,358.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $422.98 / $2,225.36	Professional		$270.32	$422.98	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $302.05 / $508.99	Professional		$47.53	$302.05	$508.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.43 / $388.60 / $422.10	Facility		$283.43	$388.60	$422.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.02 / $287.91 / $1,140.42	Facility		$284.02	$287.91	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $480.25 / $590.50	Professional		$300.66	$480.25	$590.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.67 / $414.16 / $557.87	Professional		$289.67	$414.16	$557.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,887.74 / $6,857.00	Facility		$1,120.00	$2,887.74	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $412.21 / $608.27	Professional		$255.20	$412.21	$608.27