Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.35 / $255.35 / $255.35	Facility		$255.35	$255.35	$255.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $255.35 / $463.14	Professional		$227.10	$255.35	$463.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,517.57 / $4,024.02 / $7,697.50	Facility		$2,517.57	$4,024.02	$7,697.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $316.41 / $593.13 / $2,585.55	Professional		$316.41	$593.13	$2,585.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,688.11 / $1,688.11 / $1,688.11	Facility		$1,688.11	$1,688.11	$1,688.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.17 / $472.17 / $472.17	Professional		$472.17	$472.17	$472.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,334.62 / $1,544.13 / $10,421.29	Facility		$1,334.62	$1,544.13	$10,421.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,056.93 / $1,480.42 / $2,031.00	Professional		$1,056.93	$1,480.42	$2,031.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $493.73 / $1,060.65 / $1,480.96	Facility		$493.73	$1,060.65	$1,480.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $307.58 / $410.39	Facility		$307.58	$307.58	$410.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.88 / $538.65 / $841.70	Professional		$392.88	$538.65	$841.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,609.40 / $4,024.02 / $7,697.50	Facility		$2,609.40	$4,024.02	$7,697.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.16 / $551.82 / $747.18	Professional		$314.16	$551.82	$747.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,114.19 / $1,162.44 / $1,193.30	Facility		$1,114.19	$1,162.44	$1,193.30
United Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $270.57 / $853.11	Professional		$208.46	$270.57	$853.11