Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.98 / $2,769.52 / $18,711.00	Facility		$663.98	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.37 / $466.69 / $966.91	Professional		$329.37	$466.69	$966.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,244.99 / $9,879.37 / $18,898.13	Facility		$4,244.99	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $513.21 / $896.40 / $3,102.53	Professional		$513.21	$896.40	$3,102.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.80 / $747.15 / $1,097.33	Professional		$477.80	$747.15	$1,097.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $455.38 / $850.66 / $3,140.04	Facility		$455.38	$850.66	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.66 / $816.67 / $2,641.65	Professional		$456.66	$816.67	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $591.20 / $967.53	Professional		$92.29	$591.20	$967.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $539.17 / $712.29 / $731.00	Facility		$539.17	$712.29	$731.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.98 / $498.59 / $1,470.05	Facility		$486.98	$498.59	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.21 / $831.67 / $1,022.59	Professional		$513.21	$831.67	$1,022.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $496.65 / $717.22 / $966.08	Professional		$496.65	$717.22	$966.08
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.36 / $780.08 / $1,056.45	Professional		$470.36	$780.08	$1,056.45