Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.57 / $3,925.18 / $18,711.00	Facility		$651.57	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.57 / $472.13 / $939.32	Professional		$354.57	$472.13	$939.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $14,934.15	Facility		$3,518.34	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $873.99 / $3,061.95	Professional		$504.27	$873.99	$3,061.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.68 / $733.17 / $1,086.19	Professional		$441.68	$733.17	$1,086.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $441.42 / $806.63 / $5,967.13	Facility		$441.42	$806.63	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.78 / $783.66 / $1,531.84	Professional		$449.78	$783.66	$1,531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $489.03 / $895.64	Professional		$53.39	$489.03	$895.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $682.73 / $718.24	Facility		$503.40	$682.73	$718.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.57 / $489.90 / $839.66	Facility		$471.57	$489.90	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $812.37 / $1,004.79	Professional		$504.27	$812.37	$1,004.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $480.94 / $700.35 / $949.26	Professional		$480.94	$700.35	$949.26
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 $448.36 / $702.29 / $1,016.67	Professional		$448.36	$702.29	$1,016.67