Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $2,769.52 / $18,711.00	Facility		$590.94	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $375.84 / $794.68	Professional		$280.45	$375.84	$794.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,597.82 / $8,052.47 / $15,403.47	Facility		$4,597.82	$8,052.47	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $454.88 / $794.94 / $2,791.95	Professional		$454.88	$794.94	$2,791.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.76 / $664.96 / $973.81	Professional		$375.76	$664.96	$973.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $397.32 / $695.05 / $5,078.14	Facility		$397.32	$695.05	$5,078.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $656.83 / $1,918.07	Professional		$400.26	$656.83	$1,918.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $435.61 / $783.52	Professional		$61.05	$435.61	$783.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.20 / $592.63 / $649.40	Facility		$442.20	$592.63	$649.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.62 / $441.92 / $1,048.55	Facility		$432.62	$441.92	$1,048.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.88 / $737.14 / $906.37	Professional		$454.88	$737.14	$906.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $441.21 / $635.70 / $856.28	Professional		$441.21	$635.70	$856.28
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 $393.88 / $677.61 / $927.86	Professional		$393.88	$677.61	$927.86