Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.17 / $1,063.83 / $13,809.00	Facility		$518.17	$1,063.83	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $423.64 / $967.48	Professional		$308.25	$423.64	$967.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.84 / $9,879.37 / $18,898.13	Facility		$1,322.84	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $509.89 / $900.78 / $3,263.76	Professional		$509.89	$900.78	$3,263.76
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 $443.19 / $735.92 / $1,321.37	Professional		$443.19	$735.92	$1,321.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $357.43 / $705.81 / $3,140.04	Facility		$357.43	$705.81	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.33 / $678.41 / $1,372.50	Professional		$375.33	$678.41	$1,372.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $709.43 / $1,153.07	Professional		$110.37	$709.43	$1,153.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $516.48 / $720.50 / $881.05	Facility		$516.48	$720.50	$881.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $596.60 / $600.96 / $1,470.05	Facility		$596.60	$600.96	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.31 / $725.35 / $1,101.58	Professional		$504.31	$725.35	$1,101.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,873.73 / $18,898.13	Facility		$6,406.33	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $451.26 / $672.62 / $1,017.81	Professional		$451.26	$672.62	$1,017.81
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.16 / $923.68 / $1,264.80	Professional		$523.16	$923.68	$1,264.80