Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.24 / $2,769.52 / $18,711.00	Facility		$608.24	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.97 / $424.96 / $832.05	Professional		$311.97	$424.96	$832.05
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 $495.39 / $894.74 / $3,136.35	Professional		$495.39	$894.74	$3,136.35
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 $389.74 / $734.16 / $1,102.34	Professional		$389.74	$734.16	$1,102.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $400.76 / $685.87 / $5,198.37	Facility		$400.76	$685.87	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.52 / $665.66 / $2,671.90	Professional		$424.52	$665.66	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $399.31 / $837.60	Professional		$70.15	$399.31	$837.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.69 / $610.47 / $726.28	Facility		$431.69	$610.47	$726.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.16 / $495.39 / $1,367.95	Facility		$485.16	$495.39	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.91 / $820.25 / $1,016.03	Professional		$509.91	$820.25	$1,016.03
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 $494.80 / $712.62 / $959.88	Professional		$494.80	$712.62	$959.88
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 $406.56 / $770.24 / $1,040.80	Professional		$406.56	$770.24	$1,040.80