Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $6,470.00 / $18,711.00	Facility		$444.22	$6,470.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.55 / $386.70 / $808.63	Professional		$340.55	$386.70	$808.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,554.51 / $14,095.51 / $26,963.11	Facility		$8,554.51	$14,095.51	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $439.82 / $732.56 / $4,770.00	Professional		$439.82	$732.56	$4,770.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.32 / $640.19 / $936.04	Professional		$399.32	$640.19	$936.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $768.08 / $9,677.32	Facility		$448.00	$768.08	$9,677.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.24 / $694.77 / $3,551.73	Professional		$456.24	$694.77	$3,551.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $537.18 / $879.90	Professional		$83.98	$537.18	$879.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $513.08 / $607.69 / $742.55	Facility		$513.08	$607.69	$742.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.12 / $427.30 / $1,964.09	Facility		$418.12	$427.30	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.84 / $712.75 / $876.38	Professional		$453.84	$712.75	$876.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.43 / $614.66 / $827.94	Professional		$426.43	$614.66	$827.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.04 / $655.74 / $897.91	Professional		$403.04	$655.74	$897.91