Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.70 / $5,116.62 / $16,465.04	Facility		$356.70	$5,116.62	$16,465.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $311.14 / $656.13	Professional		$218.90	$311.14	$656.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,098.40 / $8,859.76 / $16,947.71	Facility		$1,098.40	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $378.18 / $644.92 / $2,219.44	Professional		$378.18	$644.92	$2,219.44
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 $316.08 / $566.35 / $903.53	Professional		$316.08	$566.35	$903.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $281.29 / $509.28 / $2,679.56	Facility		$281.29	$509.28	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.16 / $486.02 / $937.50	Professional		$295.16	$486.02	$937.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $447.44 / $768.36	Professional		$69.92	$447.44	$768.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.62 / $495.80 / $604.34	Facility		$355.62	$495.80	$604.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.89 / $412.21 / $1,367.95	Facility		$405.89	$412.21	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.14 / $555.90 / $776.95	Professional		$388.14	$555.90	$776.95
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 $377.49 / $523.65 / $717.66	Professional		$377.49	$523.65	$717.66
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 $339.36 / $565.59 / $867.03	Professional		$339.36	$565.59	$867.03