Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.95 / $5,128.00 / $18,800.00	Facility		$687.95	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.68 / $434.05 / $929.95	Professional		$322.68	$434.05	$929.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,351.48 / $31,278.54	Facility		$9,886.41	$16,351.48	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $535.58 / $924.81 / $3,249.38	Professional		$535.58	$924.81	$3,249.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.99 / $774.12 / $1,133.64	Professional		$455.99	$774.12	$1,133.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $465.78 / $815.20 / $12,028.17	Facility		$465.78	$815.20	$12,028.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.84 / $768.77 / $4,564.68	Professional		$467.84	$768.77	$4,564.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.57 / $486.89 / $869.14	Professional		$65.57	$486.89	$869.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.95 / $691.44 / $753.75	Facility		$509.95	$691.44	$753.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.47 / $514.13 / $2,429.53	Facility		$501.47	$514.13	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.20 / $857.59 / $1,054.46	Professional		$529.20	$857.59	$1,054.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $511.43 / $739.58 / $996.19	Professional		$511.43	$739.58	$996.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.40 / $714.90 / $1,079.43	Professional		$464.40	$714.90	$1,079.43