Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.90 / $4,500.00 / $18,711.00	Facility		$657.90	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.68 / $477.04 / $950.73	Professional		$359.68	$477.04	$950.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $15,042.27 / $28,049.69	Facility		$8,562.96	$15,042.27	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $513.32 / $882.29 / $3,087.68	Professional		$513.32	$882.29	$3,087.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,848.95 / $4,848.95 / $8,078.29	Facility		$4,848.95	$4,848.95	$8,078.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.03 / $740.31 / $1,095.55	Professional		$446.03	$740.31	$1,095.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $470.98 / $818.72 / $7,389.24	Facility		$470.98	$818.72	$7,389.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.98 / $793.10 / $5,442.78	Professional		$470.98	$793.10	$5,442.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $491.35 / $890.77	Professional		$53.05	$491.35	$890.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.73 / $689.43 / $724.27	Facility		$508.73	$689.43	$724.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.10 / $494.02 / $3,217.27	Facility		$476.10	$494.02	$3,217.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.50 / $820.22 / $1,013.22	Professional		$508.50	$820.22	$1,013.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.56 / $707.00 / $957.23	Professional		$485.56	$707.00	$957.23
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 $452.76 / $749.52 / $1,033.61	Professional		$452.76	$749.52	$1,033.61