Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,769.52 / $18,711.00	Facility		$521.00	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.69 / $410.45 / $776.70	Professional		$240.69	$410.45	$776.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,674.32 / $11,128.70 / $21,287.95	Facility		$6,674.32	$11,128.70	$21,287.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $433.36 / $748.08 / $2,804.33	Professional		$433.36	$748.08	$2,804.33
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 $401.08 / $650.66 / $966.49	Professional		$401.08	$650.66	$966.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.32 / $633.65 / $5,715.32	Facility		$416.32	$633.65	$5,715.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.32 / $627.91 / $2,925.68	Professional		$416.32	$627.91	$2,925.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $442.12 / $721.14	Professional		$72.12	$442.12	$721.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $419.58 / $580.22 / $639.17	Facility		$419.58	$580.22	$639.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.91 / $424.91 / $435.98	Facility		$424.91	$424.91	$435.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.76 / $717.53 / $865.37	Professional		$448.76	$717.53	$865.37
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 $433.36 / $627.16 / $844.77	Professional		$433.36	$627.16	$844.77
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 $376.32 / $555.52 / $895.86	Professional		$376.32	$555.52	$895.86