Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.39 / $2,769.52 / $18,711.00	Facility		$642.39	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $450.64 / $934.58	Professional		$317.39	$450.64	$934.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $495.33 / $867.35 / $2,993.33	Professional		$495.33	$867.35	$2,993.33
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 $461.81 / $722.84 / $1,059.35	Professional		$461.81	$722.84	$1,059.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $440.10 / $818.68 / $3,140.04	Facility		$440.10	$818.68	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.04 / $790.53 / $2,641.65	Professional		$442.04	$790.53	$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 $523.10 / $688.30 / $706.52	Facility		$523.10	$688.30	$706.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.67 / $481.22 / $1,470.05	Facility		$470.67	$481.22	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.33 / $802.70 / $986.98	Professional		$495.33	$802.70	$986.98
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 $480.02 / $692.25 / $932.43	Professional		$480.02	$692.25	$932.43
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 $454.97 / $712.76 / $1,008.94	Professional		$454.97	$712.76	$1,008.94