Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.76 / $3,295.11 / $14,464.32	Facility		$264.76	$3,295.11	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $1,420.00 / $3,295.11	Professional		$142.63	$1,420.00	$3,295.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,312.88 / $2,967.63	Facility		$55.00	$2,312.88	$2,967.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $252.92 / $3,096.83 / $12,419.20	Professional		$252.92	$3,096.83	$12,419.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.62 / $2,284.64 / $5,190.93	Professional		$234.62	$2,284.64	$5,190.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $232.35 / $1,788.39 / $5,173.22	Facility		$232.35	$1,788.39	$5,173.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.72 / $1,788.39 / $5,173.22	Professional		$233.72	$1,788.39	$5,173.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $422.43 / $2,577.93 / $4,310.89	Professional		$422.43	$2,577.93	$4,310.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $3,196.31 / $3,799.57	Facility		$296.14	$3,196.31	$3,799.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,312.88 / $2,312.88 / $2,407.69	Facility		$2,312.88	$2,312.88	$2,407.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.72 / $487.01 / $4,239.60	Professional		$251.72	$487.01	$4,239.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,188.93 / $10,188.93 / $12,836.50	Facility		$10,188.93	$10,188.93	$12,836.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.32 / $449.61 / $3,917.21	Professional		$235.32	$449.61	$3,917.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,841.40 / $2,929.51 / $4,908.64	Professional		$1,841.40	$2,929.51	$4,908.64