Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.58 / $1,108.33 / $14,464.32	Facility		$558.58	$1,108.33	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.24 / $558.58 / $1,011.82	Professional		$381.24	$558.58	$1,011.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,837.38 / $13,744.57 / $28,049.69	Facility		$2,837.38	$13,744.57	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $578.41 / $935.29 / $3,820.83	Professional		$578.41	$935.29	$3,820.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.95 / $803.63 / $1,275.47	Professional		$530.95	$803.63	$1,275.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $432.88 / $848.67 / $4,505.89	Facility		$432.88	$848.67	$4,505.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.27 / $830.01 / $1,291.86	Professional		$478.27	$830.01	$1,291.86
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 $596.33 / $820.08 / $867.68	Facility		$596.33	$820.08	$867.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.16 / $584.04 / $2,173.03	Facility		$567.16	$584.04	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.65 / $812.97 / $1,108.77	Professional		$568.65	$812.97	$1,108.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $553.04 / $767.17 / $1,035.15	Professional		$553.04	$767.17	$1,035.15
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 $540.32 / $889.14 / $1,217.50	Professional		$540.32	$889.14	$1,217.50