Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.63 / $6,470.00 / $24,827.00	Facility		$660.63	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $468.21 / $939.09	Professional		$415.50	$468.21	$939.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43,926.00 / $66,798.75 / $127,778.49	Facility		$43,926.00	$66,798.75	$127,778.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $511.80 / $859.14 / $19,347.62	Professional		$511.80	$859.14	$19,347.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44,039.94 / $44,039.94 / $44,039.94	Facility		$44,039.94	$44,039.94	$44,039.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.35 / $772.01 / $1,087.65	Professional		$482.35	$772.01	$1,087.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.05 / $926.28 / $83,665.92	Facility		$501.05	$926.28	$83,665.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.05 / $814.19 / $27,841.38	Professional		$501.05	$814.19	$27,841.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $441.86 / $827.38	Professional		$53.05	$441.86	$827.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.60 / $703.95 / $858.05	Facility		$571.60	$703.95	$858.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.41 / $492.41 / $497.22	Facility		$492.41	$492.41	$497.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.98 / $824.05 / $986.92	Professional		$522.98	$824.05	$986.92
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 $502.19 / $715.26 / $963.42	Professional		$502.19	$715.26	$963.42
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 $465.96 / $708.61 / $1,045.64	Professional		$465.96	$708.61	$1,045.64