Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.89 / $10,122.46 / $27,982.24	Facility		$65.89	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $65.89 / $72.31	Professional		$13.60	$65.89	$72.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,890.69 / $13,114.70 / $25,086.94	Facility		$7,890.69	$13,114.70	$25,086.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $148.82 / $829.18	Professional		$87.32	$148.82	$829.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,576.11 / $3,576.11 / $5,957.76	Facility		$3,576.11	$3,576.11	$5,957.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $88.49 / $88.49	Professional		$88.49	$88.49	$88.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,766.41 / $5,449.58 / $19,606.08	Facility		$3,766.41	$5,449.58	$19,606.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $4,014.06 / $7,167.87	Professional		$191.25	$4,014.06	$7,167.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $2,923.86 / $4,527.52	Facility		$69.75	$2,923.86	$4,527.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $85.62 / $2,153.38	Facility		$85.46	$85.62	$2,153.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $143.05 / $175.28	Professional		$87.96	$143.05	$175.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,504.29 / $13,107.20 / $25,086.94	Facility		$8,504.29	$13,107.20	$25,086.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $115.70 / $156.04	Professional		$87.32	$115.70	$156.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $131.30 / $181.52	Professional		$43.83	$131.30	$181.52