Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.96 / $1,603.81 / $20,680.40	Facility		$938.96	$1,603.81	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.78 / $938.96 / $1,603.81	Professional		$471.78	$938.96	$1,603.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $982.10 / $9,032.98 / $17,279.07	Facility		$982.10	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.62 / $1,753.99 / $6,741.60	Professional		$1,001.62	$1,753.99	$6,741.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.56 / $1,482.08 / $2,225.36	Professional		$856.56	$1,482.08	$2,225.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $874.68 / $1,494.22 / $6,901.60	Facility		$874.68	$1,494.22	$6,901.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.68 / $1,386.02 / $2,144.88	Professional		$874.68	$1,386.02	$2,144.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $833.31 / $1,637.47	Professional		$97.86	$833.31	$1,637.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.20 / $1,230.90 / $1,499.46	Facility		$771.20	$1,230.90	$1,499.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $982.10 / $982.10 / $1,022.77	Facility		$982.10	$982.10	$1,022.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.76 / $1,682.35 / $2,030.09	Professional		$1,052.76	$1,682.35	$2,030.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $9,027.82 / $17,279.07	Facility		$5,857.48	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,001.62 / $1,470.54 / $1,981.75	Professional		$1,001.62	$1,470.54	$1,981.75
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 $762.14 / $1,138.49 / $2,134.73	Professional		$762.14	$1,138.49	$2,134.73