Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.89 / $5,116.62 / $18,800.00	Facility		$632.89	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.02 / $403.39 / $835.21	Professional		$298.02	$403.39	$835.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,363.09 / $9,044.98 / $22,922.83	Facility		$5,363.09	$9,044.98	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $470.25 / $806.60 / $3,629.13	Professional		$470.25	$806.60	$3,629.13
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 $390.68 / $712.15 / $1,042.43	Professional		$390.68	$712.15	$1,042.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $401.19 / $699.22 / $7,931.04	Facility		$401.19	$699.22	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.98 / $656.01 / $2,671.90	Professional		$424.98	$656.01	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.10 / $390.14 / $805.84	Professional		$68.10	$390.14	$805.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.10 / $622.42 / $689.43	Facility		$450.10	$622.42	$689.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.25 / $470.25 / $1,367.95	Facility		$460.25	$470.25	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.04 / $779.41 / $964.48	Professional		$484.04	$779.41	$964.48
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 $469.39 / $676.47 / $911.18	Professional		$469.39	$676.47	$911.18
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 $410.50 / $722.01 / $988.66	Professional		$410.50	$722.01	$988.66