Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.62 / $2,769.52 / $18,711.00	Facility		$638.62	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $448.44 / $929.05	Professional		$316.49	$448.44	$929.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,302.50 / $28,049.69	Facility		$8,562.96	$14,302.50	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $492.98 / $862.37 / $2,979.75	Professional		$492.98	$862.37	$2,979.75
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 $459.58 / $718.61 / $1,054.26	Professional		$459.58	$718.61	$1,054.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $437.98 / $816.28 / $6,620.15	Facility		$437.98	$816.28	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.60 / $784.38 / $4,024.14	Professional		$438.60	$784.38	$4,024.14
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 $501.40 / $683.86 / $718.76	Facility		$501.40	$683.86	$718.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.95 / $478.94 / $2,173.03	Facility		$467.95	$478.94	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.98 / $798.89 / $982.29	Professional		$492.98	$798.89	$982.29
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 $477.25 / $688.96 / $928.00	Professional		$477.25	$688.96	$928.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.76 / $709.32 / $1,003.27	Professional		$452.76	$709.32	$1,003.27