Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.33 / $3,925.18 / $18,711.00	Facility		$464.33	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.18 / $330.88 / $672.00	Professional		$241.18	$330.88	$672.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $15,042.27 / $28,049.69	Facility		$8,562.96	$15,042.27	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $358.44 / $598.45 / $7,676.43	Professional		$358.44	$598.45	$7,676.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,067.64 / $5,067.64 / $8,442.62	Facility		$5,067.64	$5,067.64	$8,442.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.84 / $522.47 / $765.47	Professional		$337.84	$522.47	$765.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $342.53 / $627.24 / $9,391.74	Facility		$342.53	$627.24	$9,391.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.53 / $599.62 / $5,688.25	Professional		$342.53	$599.62	$5,688.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.99 / $428.07 / $701.77	Professional		$66.99	$428.07	$701.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.98 / $497.08 / $537.37	Facility		$392.98	$497.08	$537.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.09 / $348.23 / $3,124.17	Facility		$346.09	$348.23	$3,124.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.85 / $580.87 / $714.22	Professional		$361.85	$580.87	$714.22
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 $352.97 / $500.94 / $674.75	Professional		$352.97	$500.94	$674.75
United Facility/Professional Facility Modifier Low / Median / High Price $10,312.00 / $18,181.98 / $29,082.50	Facility		$10,312.00	$18,181.98	$29,082.50
United Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $546.05 / $762.42	Professional		$333.96	$546.05	$762.42