Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.29 / $3,925.18 / $18,711.00	Facility		$500.29	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.07 / $351.09 / $727.81	Professional		$259.07	$351.09	$727.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $675.62 / $2,328.75	Professional		$385.26	$675.62	$2,328.75
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 $346.96 / $562.95 / $824.25	Professional		$346.96	$562.95	$824.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $341.64 / $636.40 / $6,620.15	Facility		$341.64	$636.40	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.57 / $614.42 / $4,024.14	Professional		$343.57	$614.42	$4,024.14
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 $393.96 / $534.84 / $548.73	Facility		$393.96	$534.84	$548.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.67 / $374.28 / $2,173.03	Facility		$364.67	$374.28	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $624.32 / $767.65	Professional		$385.26	$624.32	$767.65
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 $371.91 / $538.41 / $725.22	Professional		$371.91	$538.41	$725.22
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 $346.53 / $553.38 / $785.91	Professional		$346.53	$553.38	$785.91