Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.50 / $1,870.59 / $20,680.40	Facility		$914.50	$1,870.59	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.39 / $914.50 / $1,870.59	Professional		$677.39	$914.50	$1,870.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $923.67 / $8,832.54 / $17,279.07	Facility		$923.67	$8,832.54	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $960.56 / $1,610.40 / $6,014.48	Professional		$960.56	$1,610.40	$6,014.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.36 / $1,351.24 / $2,013.20	Professional		$911.36	$1,351.24	$2,013.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,002.55 / $1,617.84 / $8,977.36	Facility		$1,002.55	$1,617.84	$8,977.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,002.55 / $1,559.96 / $1,996.05	Professional		$1,002.55	$1,559.96	$1,996.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $875.57 / $1,525.94	Professional		$67.39	$875.57	$1,525.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,067.03 / $1,289.88 / $1,459.28	Facility		$1,067.03	$1,289.88	$1,459.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.67 / $923.67 / $933.19	Facility		$923.67	$923.67	$933.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.29 / $1,544.63 / $1,852.30	Professional		$980.29	$1,544.63	$1,852.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,899.78 / $9,027.82 / $17,279.07	Facility		$6,899.78	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $942.02 / $1,342.41 / $1,808.19	Professional		$942.02	$1,342.41	$1,808.19
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 $936.13 / $1,244.70 / $2,059.44	Professional		$936.13	$1,244.70	$2,059.44