Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.89 / $5,128.00 / $18,800.00	Facility		$717.89	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $508.27 / $1,050.65	Professional		$363.00	$508.27	$1,050.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $534.54 / $10,881.75 / $21,287.95	Facility		$534.54	$10,881.75	$21,287.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $546.14 / $928.70 / $3,482.03	Professional		$546.14	$928.70	$3,482.03
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 $531.10 / $791.16 / $1,186.73	Professional		$531.10	$791.16	$1,186.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $491.45 / $886.48 / $8,567.43	Facility		$491.45	$886.48	$8,567.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.45 / $882.34 / $2,925.68	Professional		$491.45	$882.34	$2,925.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.57 / $496.33 / $903.68	Professional		$65.57	$496.33	$903.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $758.45 / $802.40	Facility		$572.67	$758.45	$802.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.54 / $534.54 / $543.37	Facility		$534.54	$534.54	$543.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.30 / $897.10 / $1,078.54	Professional		$559.30	$897.10	$1,078.54
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 $545.16 / $781.65 / $1,052.85	Professional		$545.16	$781.65	$1,052.85
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 $509.96 / $801.78 / $1,138.32	Professional		$509.96	$801.78	$1,138.32