Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.01 / $1,047.18 / $17,100.00	Facility		$533.01	$1,047.18	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $426.55 / $962.92	Professional		$277.58	$426.55	$962.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,002.56 / $9,124.02 / $17,453.22	Facility		$2,002.56	$9,124.02	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $507.05 / $797.76 / $2,769.12	Professional		$507.05	$797.76	$2,769.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.80 / $702.78 / $1,129.98	Professional		$458.80	$702.78	$1,129.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $382.12 / $721.50 / $2,793.98	Facility		$382.12	$721.50	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.52 / $679.45 / $1,194.11	Professional		$424.52	$679.45	$1,194.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $444.39 / $873.77	Professional		$49.61	$444.39	$873.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $725.40 / $763.64	Facility		$453.60	$725.40	$763.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.10 / $510.47 / $1,140.42	Facility		$505.10	$510.47	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.64 / $674.31 / $951.32	Professional		$489.64	$674.31	$951.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $497.37 / $652.08 / $874.58	Professional		$497.37	$652.08	$874.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.21 / $777.62 / $1,092.88	Professional		$472.21	$777.62	$1,092.88