Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.06 / $3,925.18 / $18,711.00	Facility		$778.06	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.26 / $549.28 / $1,109.34	Professional		$370.26	$549.28	$1,109.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $601.16 / $1,044.97 / $3,648.15	Professional		$601.16	$1,044.97	$3,648.15
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 $530.12 / $875.51 / $1,293.21	Professional		$530.12	$875.51	$1,293.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $527.10 / $965.53 / $8,210.75	Facility		$527.10	$965.53	$8,210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.61 / $943.56 / $2,641.65	Professional		$527.61	$943.56	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $548.76 / $1,031.71	Professional		$53.39	$548.76	$1,031.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.40 / $818.74 / $856.26	Facility		$628.40	$818.74	$856.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.89 / $584.04 / $1,470.05	Facility		$564.89	$584.04	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.16 / $972.49 / $1,197.86	Professional		$601.16	$972.49	$1,197.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,907.26 / $9,879.37 / $18,898.13	Facility		$6,907.26	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $576.11 / $837.36 / $1,131.67	Professional		$576.11	$837.36	$1,131.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $11,941.00	Facility		$2,155.00	$6,594.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $842.19 / $1,215.57	Professional		$537.66	$842.19	$1,215.57