Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.36 / $2,769.52 / $18,711.00	Facility		$661.36	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.66 / $479.18 / $938.27	Professional		$359.66	$479.18	$938.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $18,898.13	Facility		$4,938.64	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $510.85 / $848.04 / $3,102.68	Professional		$510.85	$848.04	$3,102.68
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 $448.15 / $744.20 / $1,100.44	Professional		$448.15	$744.20	$1,100.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $447.20 / $817.33 / $5,967.13	Facility		$447.20	$817.33	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.72 / $795.14 / $2,641.65	Professional		$447.72	$795.14	$2,641.65
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 $533.12 / $692.11 / $727.62	Facility		$533.12	$692.11	$727.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.92 / $496.30 / $1,470.05	Facility		$477.92	$496.30	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.85 / $824.15 / $1,017.91	Professional		$510.85	$824.15	$1,017.91
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 $487.41 / $710.99 / $961.65	Professional		$487.41	$710.99	$961.65
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 $463.49 / $821.97 / $1,084.49	Professional		$463.49	$821.97	$1,084.49