Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.16 / $2,769.52 / $18,711.00	Facility		$534.16	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $339.65 / $712.63	Professional		$253.63	$339.65	$712.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $390.94 / $8,854.69 / $16,947.71	Facility		$390.94	$8,854.69	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $411.82 / $721.27 / $2,519.40	Professional		$411.82	$721.27	$2,519.40
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 $348.26 / $601.07 / $879.17	Professional		$348.26	$601.07	$879.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $356.04 / $622.46 / $5,198.37	Facility		$356.04	$622.46	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $587.69 / $2,671.90	Professional		$361.62	$587.69	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $452.39 / $747.23	Professional		$72.06	$452.39	$747.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $403.10 / $535.50 / $584.91	Facility		$403.10	$535.50	$584.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.94 / $398.96 / $1,367.95	Facility		$390.94	$398.96	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.66 / $665.49 / $818.26	Professional		$410.66	$665.49	$818.26
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 $398.71 / $573.91 / $773.04	Professional		$398.71	$573.91	$773.04
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 $363.88 / $612.73 / $839.02	Professional		$363.88	$612.73	$839.02