Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.66 / $3,925.18 / $18,711.00	Facility		$718.66	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.08 / $507.55 / $1,025.23	Professional		$339.08	$507.55	$1,025.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,482.52 / $9,879.37 / $18,898.13	Facility		$4,482.52	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $561.61 / $965.29 / $4,691.53	Professional		$561.61	$965.29	$4,691.53
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 $489.67 / $808.66 / $1,193.27	Professional		$489.67	$808.66	$1,193.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $516.99 / $901.29 / $5,453.39	Facility		$516.99	$901.29	$5,453.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.99 / $875.45 / $2,641.65	Professional		$516.99	$875.45	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $544.10 / $991.96	Professional		$68.09	$544.10	$991.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.08 / $758.44 / $790.16	Facility		$584.08	$758.44	$790.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.50 / $538.79 / $1,470.05	Facility		$520.50	$538.79	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.60 / $898.71 / $1,105.08	Professional		$554.60	$898.71	$1,105.08
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 $530.84 / $773.51 / $1,044.00	Professional		$530.84	$773.51	$1,044.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,071.07 / $10,522.00	Facility		$1,862.00	$3,071.07	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.08 / $775.55 / $1,122.88	Professional		$498.08	$775.55	$1,122.88