Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.74 / $6,470.00 / $18,800.00	Facility		$697.74	$6,470.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.49 / $534.28 / $1,119.05	Professional		$385.49	$534.28	$1,119.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,700.71 / $9,032.98 / $23,371.01	Facility		$5,700.71	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $534.07 / $889.23 / $3,416.61	Professional		$534.07	$889.23	$3,416.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $768.73 / $1,149.36	Professional		$535.26	$768.73	$1,149.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $604.90 / $945.37 / $6,901.60	Facility		$604.90	$945.37	$6,901.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.90 / $889.77 / $2,378.91	Professional		$604.90	$889.77	$2,378.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $450.40 / $866.07	Professional		$52.65	$450.40	$866.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $638.54 / $737.62 / $852.91	Facility		$638.54	$737.62	$852.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $530.58	Facility		$523.66	$523.66	$530.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.75 / $878.84 / $1,053.14	Professional		$557.75	$878.84	$1,053.14
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 $534.07 / $763.24 / $1,028.07	Professional		$534.07	$763.24	$1,028.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,428.00 / $2,854.00 / $11,941.00	Facility		$2,428.00	$2,854.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.40 / $756.40 / $1,171.19	Professional		$512.40	$756.40	$1,171.19