Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.19 / $1,090.15 / $17,100.00	Facility		$568.19	$1,090.15	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $447.82 / $922.05	Professional		$306.52	$447.82	$922.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,153.10 / $9,124.02 / $17,453.22	Facility		$2,153.10	$9,124.02	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $543.57 / $861.05 / $3,009.28	Professional		$543.57	$861.05	$3,009.28
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 $477.18 / $760.96 / $1,229.52	Professional		$477.18	$760.96	$1,229.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $397.29 / $754.68 / $2,793.98	Facility		$397.29	$754.68	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.37 / $715.68 / $1,292.81	Professional		$441.37	$715.68	$1,292.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $448.60 / $907.99	Professional		$49.61	$448.60	$907.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $521.66 / $767.15 / $814.72	Facility		$521.66	$767.15	$814.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.79 / $555.71 / $1,140.42	Facility		$541.79	$555.71	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $730.94 / $1,019.61	Professional		$527.00	$730.94	$1,019.61
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 $535.02 / $709.76 / $944.22	Professional		$535.02	$709.76	$944.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.50 / $801.51 / $1,167.30	Professional		$492.50	$801.51	$1,167.30