Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.16 / $3,925.18 / $18,711.00	Facility		$483.16	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.93 / $350.08 / $690.23	Professional		$270.93	$350.08	$690.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,244.99 / $9,879.37 / $18,898.13	Facility		$4,244.99	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $368.54 / $616.77 / $3,135.00	Professional		$368.54	$616.77	$3,135.00
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 $334.98 / $543.66 / $800.19	Professional		$334.98	$543.66	$800.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $327.18 / $604.41 / $3,586.37	Facility		$327.18	$604.41	$3,586.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.24 / $590.48 / $2,641.65	Professional		$330.24	$590.48	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $417.44 / $709.11	Professional		$65.55	$417.44	$709.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $378.38 / $513.89 / $530.64	Facility		$378.38	$513.89	$530.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.98 / $361.94 / $1,470.05	Facility		$351.98	$361.94	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.56 / $603.74 / $742.34	Professional		$372.56	$603.74	$742.34
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 $358.97 / $520.66 / $701.32	Professional		$358.97	$520.66	$701.32
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.48 / $552.10 / $756.00	Professional		$337.48	$552.10	$756.00