Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.10 / $584.51 / $18,711.00	Facility		$279.10	$584.51	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $267.57 / $570.45	Professional		$208.43	$267.57	$570.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.84 / $8,859.76 / $22,922.83	Facility		$1,296.84	$8,859.76	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $564.73 / $2,500.00	Professional		$343.00	$564.73	$2,500.00
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 $272.02 / $484.07 / $752.40	Professional		$272.02	$484.07	$752.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $448.77 / $2,679.56	Facility		$262.70	$448.77	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.04 / $442.12 / $775.31	Professional		$264.04	$442.12	$775.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $372.71 / $629.13	Professional		$58.66	$372.71	$629.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.25 / $418.08 / $509.87	Facility		$306.25	$418.08	$509.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.66 / $347.78 / $1,367.95	Facility		$340.66	$347.78	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.78 / $529.75 / $679.52	Professional		$347.78	$529.75	$679.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $467.79 / $627.48	Professional		$319.58	$467.79	$627.48
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 $290.00 / $478.80 / $729.93	Professional		$290.00	$478.80	$729.93