Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.92 / $5,128.00 / $20,680.40	Facility		$679.92	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.23 / $482.77 / $1,003.52	Professional		$362.23	$482.77	$1,003.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,674.32 / $11,128.70 / $21,287.95	Facility		$6,674.32	$11,128.70	$21,287.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $529.66 / $883.74 / $3,295.35	Professional		$529.66	$883.74	$3,295.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,627.88 / $4,627.88 / $4,627.88	Facility		$4,627.88	$4,627.88	$4,627.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.03 / $750.79 / $1,126.36	Professional		$486.03	$750.79	$1,126.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $527.46 / $893.88 / $5,715.32	Facility		$527.46	$893.88	$5,715.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.46 / $862.49 / $2,925.68	Professional		$527.46	$862.49	$2,925.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $474.04 / $833.82	Professional		$65.55	$474.04	$833.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $569.87 / $721.44 / $767.82	Facility		$569.87	$721.44	$767.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.45 / $506.45 / $514.58	Facility		$506.45	$506.45	$514.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.95 / $847.64 / $1,021.39	Professional		$537.95	$847.64	$1,021.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,216.46 / $10,881.75 / $21,287.95	Facility		$7,216.46	$10,881.75	$21,287.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $516.52 / $740.23 / $997.07	Professional		$516.52	$740.23	$997.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.04 / $728.88 / $1,075.56	Professional		$480.04	$728.88	$1,075.56