Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.94 / $5,128.00 / $18,800.00	Facility		$476.94	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $335.06 / $695.58	Professional		$237.90	$335.06	$695.58
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 $367.38 / $618.54 / $2,218.88	Professional		$367.38	$618.54	$2,218.88
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 $334.98 / $536.66 / $784.58	Professional		$334.98	$536.66	$784.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $614.01 / $6,620.15	Facility		$327.20	$614.01	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.66 / $585.97 / $2,641.65	Professional		$327.66	$585.97	$2,641.65
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 $399.84 / $509.05 / $537.88	Facility		$399.84	$509.05	$537.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.26 / $356.92 / $1,470.05	Facility		$349.26	$356.92	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.38 / $595.36 / $732.03	Professional		$367.38	$595.36	$732.03
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 $356.20 / $513.42 / $691.58	Professional		$356.20	$513.42	$691.58
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 $338.80 / $547.86 / $788.26	Professional		$338.80	$547.86	$788.26