Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.40 / $6,470.00 / $22,024.00	Facility		$692.40	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.75 / $492.46 / $984.14	Professional		$346.75	$492.46	$984.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,933.00 / $66,798.75 / $127,778.49	Facility		$11,933.00	$66,798.75	$127,778.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $526.22 / $893.25 / $3,234.83	Professional		$526.22	$893.25	$3,234.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45,593.99 / $45,593.99 / $45,593.99	Facility		$45,593.99	$45,593.99	$45,593.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.16 / $779.11 / $1,102.86	Professional		$504.16	$779.11	$1,102.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $520.63 / $909.42 / $83,665.92	Facility		$520.63	$909.42	$83,665.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.63 / $853.53 / $28,823.83	Professional		$520.63	$853.53	$28,823.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $475.15 / $832.50	Professional		$65.55	$475.15	$832.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $563.50 / $705.06 / $769.76	Facility		$563.50	$705.06	$769.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.99 / $504.99 / $515.97	Facility		$504.99	$504.99	$515.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.26 / $855.27 / $1,032.73	Professional		$544.26	$855.27	$1,032.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51,023.81 / $66,798.75 / $127,778.49	Facility		$51,023.81	$66,798.75	$127,778.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $526.22 / $726.43 / $978.48	Professional		$526.22	$726.43	$978.48
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $49,837.00 / $74,860.00	Facility		$7,425.00	$49,837.00	$74,860.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.96 / $687.58 / $1,094.88	Professional		$487.96	$687.58	$1,094.88