Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.54 / $5,116.62 / $18,800.00	Facility		$544.54	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $394.57 / $777.32	Professional		$293.39	$394.57	$777.32
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 $420.07 / $732.89 / $2,545.19	Professional		$420.07	$732.89	$2,545.19
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 $386.15 / $612.73 / $902.23	Professional		$386.15	$612.73	$902.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $368.76 / $678.77 / $5,967.13	Facility		$368.76	$678.77	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.52 / $664.41 / $2,641.65	Professional		$371.52	$664.41	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $391.17 / $721.58	Professional		$53.48	$391.17	$721.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $430.52 / $578.88 / $598.30	Facility		$430.52	$578.88	$598.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.47 / $408.10 / $1,470.05	Facility		$395.47	$408.10	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.07 / $680.73 / $837.01	Professional		$420.07	$680.73	$837.01
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 $403.33 / $587.05 / $790.75	Professional		$403.33	$587.05	$790.75
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 $380.16 / $604.79 / $852.53	Professional		$380.16	$604.79	$852.53