Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.05 / $887.79 / $19,971.04	Facility		$418.05	$887.79	$19,971.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $373.22 / $801.96	Professional		$231.64	$373.22	$801.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,859.62 / $10,612.45 / $20,300.41	Facility		$1,859.62	$10,612.45	$20,300.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $413.90 / $675.75 / $2,547.92	Professional		$413.90	$675.75	$2,547.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.33 / $593.50 / $1,038.42	Professional		$367.33	$593.50	$1,038.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $319.92 / $556.75 / $3,163.58	Facility		$319.92	$556.75	$3,163.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.92 / $545.29 / $1,083.75	Professional		$319.92	$545.29	$1,083.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $596.97 / $975.51	Professional		$93.25	$596.97	$975.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $637.32 / $694.28	Facility		$391.76	$637.32	$694.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.51 / $472.54 / $1,366.31	Facility		$462.51	$472.54	$1,366.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.16 / $586.27 / $866.18	Professional		$406.16	$586.27	$866.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $10,606.39 / $20,300.41	Facility		$6,881.70	$10,606.39	$20,300.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.72 / $555.19 / $800.32	Professional		$398.72	$555.19	$800.32
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.67 / $671.36 / $995.44	Professional		$427.67	$671.36	$995.44