Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.91 / $3,925.18 / $18,711.00	Facility		$579.91	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.23 / $407.37 / $843.52	Professional		$289.23	$407.37	$843.52
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 $447.82 / $782.69 / $2,707.65	Professional		$447.82	$782.69	$2,707.65
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 $403.18 / $652.54 / $957.96	Professional		$403.18	$652.54	$957.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $396.81 / $740.33 / $6,620.15	Facility		$396.81	$740.33	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.91 / $715.55 / $2,641.65	Professional		$402.91	$715.55	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $537.18 / $879.90	Professional		$83.98	$537.18	$879.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.79 / $621.65 / $654.73	Facility		$479.79	$621.65	$654.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.01 / $435.06 / $1,470.05	Facility		$424.01	$435.06	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.28 / $725.71 / $892.31	Professional		$450.28	$725.71	$892.31
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 $432.43 / $625.84 / $843.00	Professional		$432.43	$625.84	$843.00
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 $390.60 / $623.09 / $910.48	Professional		$390.60	$623.09	$910.48