Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.29 / $1,098.04 / $14,464.32	Facility		$496.29	$1,098.04	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $481.67 / $908.52	Professional		$294.64	$481.67	$908.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,424.08 / $5,772.11 / $14,934.15	Facility		$1,424.08	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $480.99 / $898.30 / $4,045.88	Professional		$480.99	$898.30	$4,045.88
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 $423.82 / $738.03 / $1,418.68	Professional		$423.82	$738.03	$1,418.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.38 / $691.07 / $1,828.65	Facility		$371.38	$691.07	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.83 / $686.55 / $1,357.42	Professional		$400.83	$686.55	$1,357.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $767.97 / $1,244.87	Professional		$119.04	$767.97	$1,244.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.65 / $803.70 / $943.36	Facility		$532.65	$803.70	$943.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.73 / $643.46 / $839.66	Facility		$638.73	$643.46	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.89 / $724.28 / $1,182.17	Professional		$482.89	$724.28	$1,182.17
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 $432.42 / $666.49 / $1,089.79	Professional		$432.42	$666.49	$1,089.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.34 / $1,862.00 / $10,522.00	Facility		$1,748.34	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $919.30 / $1,356.54	Professional		$563.04	$919.30	$1,356.54