Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.50 / $2,769.52 / $18,711.00	Facility		$375.50	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $237.86 / $522.17	Professional		$177.15	$237.86	$522.17
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 $279.23 / $479.71 / $2,635.00	Professional		$279.23	$479.71	$2,635.00
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 $236.96 / $422.52 / $617.48	Professional		$236.96	$422.52	$617.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.52 / $427.21 / $5,198.37	Facility		$242.52	$427.21	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $401.67 / $2,671.90	Professional		$254.10	$401.67	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $281.40 / $516.84	Professional		$43.60	$281.40	$516.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.83 / $366.49 / $409.37	Facility		$267.83	$366.49	$409.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.61 / $279.23 / $1,367.95	Facility		$273.61	$279.23	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.41 / $465.77 / $572.69	Professional		$287.41	$465.77	$572.69
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 $279.05 / $401.67 / $541.04	Professional		$279.05	$401.67	$541.04
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 $244.67 / $398.46 / $587.98	Professional		$244.67	$398.46	$587.98