Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.35 / $5,128.00 / $20,680.40	Facility		$569.35	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $414.31 / $811.57	Professional		$266.27	$414.31	$811.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,296.15 / $19,395.98 / $37,102.31	Facility		$11,296.15	$19,395.98	$37,102.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $436.53 / $729.41 / $2,821.73	Professional		$436.53	$729.41	$2,821.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,448.94 / $3,448.94 / $5,745.89	Facility		$3,448.94	$3,448.94	$5,745.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.81 / $640.66 / $934.24	Professional		$395.81	$640.66	$934.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $385.56 / $702.97 / $7,779.83	Facility		$385.56	$702.97	$7,779.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.04 / $674.11 / $3,871.31	Professional		$399.04	$674.11	$3,871.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $482.19 / $791.01	Professional		$75.67	$482.19	$791.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $462.88 / $603.09 / $621.76	Facility		$462.88	$603.09	$621.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.04 / $424.10 / $2,096.73	Facility		$414.04	$424.10	$2,096.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.45 / $706.41 / $869.81	Professional		$446.45	$706.41	$869.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $422.27 / $610.07 / $821.74	Professional		$422.27	$610.07	$821.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.06 / $625.10 / $894.07	Professional		$375.06	$625.10	$894.07