Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.96 / $7,394.00 / $17,930.00	Facility		$418.96	$7,394.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $333.96 / $691.23	Professional		$246.77	$333.96	$691.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $14,934.15	Facility		$3,518.34	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $639.92 / $2,807.58	Professional		$372.32	$639.92	$2,807.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.98 / $533.72 / $784.37	Professional		$334.98	$533.72	$784.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $324.66 / $606.02 / $6,254.64	Facility		$324.66	$606.02	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.09 / $585.45 / $1,531.84	Professional		$328.09	$585.45	$1,531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.99 / $428.69 / $701.77	Professional		$66.99	$428.69	$701.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.41 / $509.48 / $536.52	Facility		$393.41	$509.48	$536.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $356.00 / $839.66	Facility		$347.00	$356.00	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.63 / $593.83 / $730.16	Professional		$366.63	$593.83	$730.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,768.81 / $11,041.39	Facility		$4,408.99	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $353.89 / $512.12 / $689.80	Professional		$353.89	$512.12	$689.80
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 $335.28 / $533.40 / $744.40	Professional		$335.28	$533.40	$744.40