Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.27 / $4,011.00 / $18,711.00	Facility		$623.27	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.24 / $535.78 / $909.08	Professional		$318.24	$535.78	$909.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,674.32 / $11,500.00 / $21,287.95	Facility		$6,674.32	$11,500.00	$21,287.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $569.16 / $977.35 / $3,666.68	Professional		$569.16	$977.35	$3,666.68
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 $527.82 / $833.50 / $1,251.51	Professional		$527.82	$833.50	$1,251.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $546.14 / $834.47 / $5,715.32	Facility		$546.14	$834.47	$5,715.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.14 / $825.45 / $2,925.68	Professional		$546.14	$825.45	$2,925.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $526.58 / $948.48	Professional		$53.02	$526.58	$948.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $530.79 / $700.53 / $835.49	Facility		$530.79	$700.53	$835.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.74 / $556.74 / $569.88	Facility		$556.74	$556.74	$569.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.59 / $937.43 / $1,131.15	Professional		$586.59	$937.43	$1,131.15
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 $567.79 / $819.40 / $1,104.22	Professional		$567.79	$819.40	$1,104.22
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 $493.50 / $705.00 / $1,170.40	Professional		$493.50	$705.00	$1,170.40