Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.52 / $7,451.47 / $22,298.10	Facility		$448.52	$7,451.47	$22,298.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $804.15 / $4,072.19	Professional		$285.30	$804.15	$4,072.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,863.56 / $14,095.51 / $26,963.11	Facility		$2,863.56	$14,095.51	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $449.75 / $3,899.00 / $15,390.40	Professional		$449.75	$3,899.00	$15,390.40
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 $393.55 / $822.56 / $6,423.83	Professional		$393.55	$822.56	$6,423.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $405.95 / $2,405.28 / $5,417.01	Facility		$405.95	$2,405.28	$5,417.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.95 / $2,061.69 / $4,676.49	Professional		$405.95	$2,061.69	$4,676.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $509.30 / $3,257.82 / $5,354.27	Professional		$509.30	$3,257.82	$5,354.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $567.72 / $3,245.75 / $4,198.22	Facility		$567.72	$3,245.75	$4,198.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,964.09 / $2,863.56 / $3,005.20	Facility		$1,964.09	$2,863.56	$3,005.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.72 / $817.25 / $5,576.21	Professional		$438.72	$817.25	$5,576.21
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 $394.72 / $2,099.61 / $4,849.88	Professional		$394.72	$2,099.61	$4,849.88
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 $2,446.84 / $4,544.38 / $6,222.65	Professional		$2,446.84	$4,544.38	$6,222.65