Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.53 / $1,119.38 / $14,464.32	Facility		$564.53	$1,119.38	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.37 / $564.53 / $1,018.61	Professional		$374.37	$564.53	$1,018.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,851.38 / $13,744.57 / $28,049.69	Facility		$2,851.38	$13,744.57	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $583.51 / $940.75 / $3,771.21	Professional		$583.51	$940.75	$3,771.21
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 $536.12 / $811.34 / $1,287.71	Professional		$536.12	$811.34	$1,287.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $435.43 / $849.01 / $4,505.89	Facility		$435.43	$849.01	$4,505.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.24 / $825.13 / $1,304.06	Professional		$463.24	$825.13	$1,304.06
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 $599.04 / $825.96 / $865.64	Facility		$599.04	$825.96	$865.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.14 / $589.53 / $2,173.03	Facility		$572.14	$589.53	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $817.72 / $1,120.28	Professional		$574.00	$817.72	$1,120.28
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 $556.27 / $770.25 / $1,045.90	Professional		$556.27	$770.25	$1,045.90
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 $545.60 / $847.31 / $1,229.07	Professional		$545.60	$847.31	$1,229.07