Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.03 / $3,925.18 / $18,711.00	Facility		$530.03	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $438.16 / $929.85	Professional		$321.72	$438.16	$929.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,363.09 / $9,102.00 / $16,947.71	Facility		$5,363.09	$9,102.00	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $535.58 / $926.28 / $3,243.60	Professional		$535.58	$926.28	$3,243.60
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 $455.54 / $772.69 / $1,131.54	Professional		$455.54	$772.69	$1,131.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $464.94 / $810.20 / $7,931.04	Facility		$464.94	$810.20	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.98 / $763.83 / $2,671.90	Professional		$466.98	$763.83	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $399.60 / $836.13	Professional		$69.92	$399.60	$836.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $690.10 / $752.41	Facility		$499.04	$690.10	$752.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.57 / $513.21 / $1,367.95	Facility		$500.57	$513.21	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.26 / $856.06 / $1,052.58	Professional		$528.26	$856.06	$1,052.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $510.51 / $738.26 / $994.42	Professional		$510.51	$738.26	$994.42
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 $461.91 / $730.20 / $1,077.50	Professional		$461.91	$730.20	$1,077.50