Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.94 / $7,489.85 / $18,800.00	Facility		$623.94	$7,489.85	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.92 / $398.13 / $792.40	Professional		$293.92	$398.13	$792.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $22,922.83	Facility		$5,089.03	$9,044.98	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $463.40 / $837.47 / $2,929.73	Professional		$463.40	$837.47	$2,929.73
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 $372.50 / $702.08 / $1,027.86	Professional		$372.50	$702.08	$1,027.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $394.74 / $685.04 / $5,198.37	Facility		$394.74	$685.04	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.14 / $642.01 / $2,671.90	Professional		$418.14	$642.01	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $355.74 / $795.96	Professional		$62.29	$355.74	$795.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $441.15 / $594.29 / $679.38	Facility		$441.15	$594.29	$679.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.36 / $463.40 / $1,367.95	Facility		$454.36	$463.40	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.99 / $769.20 / $950.42	Professional		$476.99	$769.20	$950.42
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 $463.39 / $666.61 / $897.90	Professional		$463.39	$666.61	$897.90
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 $401.49 / $660.19 / $974.18	Professional		$401.49	$660.19	$974.18