Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.13 / $11,101.00 / $21,426.96	Facility		$651.13	$11,101.00	$21,426.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.96 / $554.67 / $1,461.23	Professional		$413.96	$554.67	$1,461.23
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 $514.29 / $843.05 / $7,725.84	Professional		$514.29	$843.05	$7,725.84
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 $446.64 / $742.83 / $1,070.92	Professional		$446.64	$742.83	$1,070.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $903.39 / $9,677.32	Facility		$513.00	$903.39	$9,677.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.42 / $795.90 / $3,551.73	Professional		$522.42	$795.90	$3,551.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $591.20 / $967.53	Professional		$92.29	$591.20	$967.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.16 / $713.64 / $1,050.72	Facility		$587.16	$713.64	$1,050.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.92 / $488.99 / $1,964.09	Facility		$477.92	$488.99	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.72 / $815.66 / $1,002.91	Professional		$519.72	$815.66	$1,002.91
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 $487.41 / $703.42 / $947.48	Professional		$487.41	$703.42	$947.48
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 $461.12 / $769.25 / $1,037.52	Professional		$461.12	$769.25	$1,037.52