Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.27 / $1,094.31 / $14,464.32	Facility		$549.27	$1,094.31	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.17 / $549.27 / $993.89	Professional		$366.17	$549.27	$993.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,180.56 / $24,470.54 / $49,939.07	Facility		$3,180.56	$24,470.54	$49,939.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $568.26 / $918.90 / $3,920.07	Professional		$568.26	$918.90	$3,920.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,795.54 / $6,795.54 / $11,321.29	Facility		$6,795.54	$6,795.54	$11,321.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.65 / $789.91 / $1,253.70	Professional		$523.65	$789.91	$1,253.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $424.82 / $828.32 / $8,428.82	Facility		$424.82	$828.32	$8,428.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.31 / $805.14 / $1,271.25	Professional		$452.31	$805.14	$1,271.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $699.97 / $1,149.94	Professional		$110.62	$699.97	$1,149.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.28 / $804.99 / $846.60	Facility		$585.28	$804.99	$846.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $557.19 / $573.99 / $4,273.27	Facility		$557.19	$573.99	$4,273.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.57 / $798.72 / $1,090.17	Professional		$559.57	$798.72	$1,090.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,928.99 / $26,091.73 / $49,939.07	Facility		$16,928.99	$26,091.73	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $543.35 / $751.50 / $1,017.79	Professional		$543.35	$751.50	$1,017.79
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 $531.52 / $875.03 / $1,198.19	Professional		$531.52	$875.03	$1,198.19