Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.36 / $5,128.00 / $20,680.40	Facility		$759.36	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.67 / $550.96 / $1,087.47	Professional		$408.67	$550.96	$1,087.47
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 $593.00 / $1,019.24 / $3,558.60	Professional		$593.00	$1,019.24	$3,558.60
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 $520.38 / $854.46 / $1,262.85	Professional		$520.38	$854.46	$1,262.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $514.08 / $942.94 / $6,254.64	Facility		$514.08	$942.94	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.58 / $927.41 / $2,641.65	Professional		$518.58	$927.41	$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 $607.52 / $802.66 / $841.16	Facility		$607.52	$802.66	$841.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.49 / $569.88 / $1,470.05	Facility		$549.49	$569.88	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.59 / $934.39 / $1,131.15	Professional		$586.59	$934.39	$1,131.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,411.94 / $9,873.73 / $18,898.13	Facility		$6,411.94	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $560.41 / $816.74 / $1,104.22	Professional		$560.41	$816.74	$1,104.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.12 / $823.17 / $1,185.61	Professional		$527.12	$823.17	$1,185.61