Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.94 / $4,165.56 / $15,830.19	Facility		$378.94	$4,165.56	$15,830.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $241.02 / $522.47	Professional		$178.50	$241.02	$522.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $16,947.71	Facility		$5,089.03	$9,044.98	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $285.66 / $508.79 / $1,776.15	Professional		$285.66	$508.79	$1,776.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.46 / $426.39 / $622.98	Professional		$234.46	$426.39	$622.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $240.37 / $415.53 / $5,198.37	Facility		$240.37	$415.53	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.62 / $390.14 / $2,671.90	Professional		$254.62	$390.14	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $250.50 / $499.21	Professional		$39.34	$250.50	$499.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $362.47 / $412.05	Facility		$272.44	$362.47	$412.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.97 / $281.06 / $1,367.95	Facility		$274.97	$281.06	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $466.43 / $576.44	Professional		$289.30	$466.43	$576.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.43 / $404.30 / $544.58	Professional		$280.43	$404.30	$544.58
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 $246.97 / $442.77 / $591.86	Professional		$246.97	$442.77	$591.86