Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.83 / $8,369.76 / $18,711.00	Facility		$750.83	$8,369.76	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $543.30 / $1,068.07	Professional		$386.68	$543.30	$1,068.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $25,560.89	Facility		$4,938.64	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $579.53 / $1,007.62 / $3,517.73	Professional		$579.53	$1,007.62	$3,517.73
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 $506.16 / $844.87 / $1,247.93	Professional		$506.16	$844.87	$1,247.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $930.10 / $5,967.13	Facility		$504.39	$930.10	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.62 / $902.03 / $2,641.65	Professional		$508.62	$902.03	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $543.08 / $991.96	Professional		$68.09	$543.08	$991.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.97 / $787.25 / $825.44	Facility		$584.97	$787.25	$825.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.60 / $563.02 / $1,470.05	Facility		$543.60	$563.02	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.53 / $935.60 / $1,154.75	Professional		$579.53	$935.60	$1,154.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,660.15 / $18,898.13	Facility		$6,079.47	$9,660.15	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $807.43 / $1,090.94	Professional		$554.40	$807.43	$1,090.94
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 $517.00 / $809.80 / $1,172.11	Professional		$517.00	$809.80	$1,172.11