Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.39 / $5,116.62 / $18,800.00	Facility		$617.39	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.24 / $433.32 / $897.72	Professional		$310.24	$433.32	$897.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.74 / $9,879.37 / $25,560.89	Facility		$5,555.74	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $476.52 / $790.85 / $3,137.10	Professional		$476.52	$790.85	$3,137.10
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 $429.40 / $694.72 / $1,019.55	Professional		$429.40	$694.72	$1,019.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $422.70 / $805.09 / $6,254.64	Facility		$422.70	$805.09	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.72 / $762.23 / $2,641.65	Professional		$431.72	$762.23	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $591.20 / $967.53	Professional		$92.29	$591.20	$967.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $486.76 / $662.25 / $687.24	Facility		$486.76	$662.25	$687.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.19 / $462.94 / $1,470.05	Facility		$451.19	$462.94	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.30 / $772.21 / $949.48	Professional		$482.30	$772.21	$949.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,660.15 / $18,898.13	Facility		$6,079.47	$9,660.15	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.15 / $665.95 / $897.01	Professional		$460.15	$665.95	$897.01
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 $436.92 / $684.47 / $983.07	Professional		$436.92	$684.47	$983.07