Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.38 / $5,116.62 / $18,800.00	Facility		$520.38	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $366.16 / $757.07	Professional		$258.83	$366.16	$757.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $25,560.89	Facility		$5,968.10	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $408.53 / $702.18 / $2,432.17	Professional		$408.53	$702.18	$2,432.17
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 $361.98 / $585.54 / $860.54	Professional		$361.98	$585.54	$860.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $356.49 / $673.17 / $6,620.15	Facility		$356.49	$673.17	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.63 / $642.85 / $2,641.65	Professional		$361.63	$642.85	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $482.41 / $789.54	Professional		$75.17	$482.41	$789.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.56 / $558.12 / $590.91	Facility		$414.56	$558.12	$590.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.07 / $390.74 / $1,470.05	Facility		$380.07	$390.74	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.91 / $651.77 / $801.39	Professional		$403.91	$651.77	$801.39
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 $387.62 / $562.08 / $757.10	Professional		$387.62	$562.08	$757.10
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 $367.40 / $559.45 / $816.83	Professional		$367.40	$559.45	$816.83