Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.92 / $2,812.16 / $18,711.00	Facility		$717.92	$2,812.16	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $479.87 / $1,014.72	Professional		$346.55	$479.87	$1,014.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $631.94 / $6,457.44 / $12,632.68	Facility		$631.94	$6,457.44	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $652.40 / $1,168.75 / $4,015.13	Professional		$652.40	$1,168.75	$4,015.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $2,876.24	Facility		$479.00	$479.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.64 / $686.46 / $1,489.47	Professional		$446.64	$686.46	$1,489.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $479.99 / $1,016.61 / $2,522.36	Facility		$479.99	$1,016.61	$2,522.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.99 / $995.84 / $2,132.91	Professional		$479.99	$995.84	$2,132.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $282.20 / $906.71	Professional		$39.24	$282.20	$906.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.30 / $782.00 / $938.67	Facility		$548.30	$782.00	$938.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $631.94 / $631.94 / $640.26	Facility		$631.94	$631.94	$640.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.63 / $1,057.76 / $1,274.98	Professional		$662.63	$1,057.76	$1,274.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $644.49 / $921.02 / $1,337.88	Professional		$644.49	$921.02	$1,337.88
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $648.00 / $5,793.00	Facility		$118.00	$648.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.12 / $669.90 / $1,330.00	Professional		$465.12	$669.90	$1,330.00