Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $10,700.00 / $22,024.00	Facility		$203.62	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $203.62 / $223.45	Professional		$119.95	$203.62	$223.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $704.36 / $4,321.81 / $8,361.00	Facility		$704.36	$4,321.81	$8,361.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $459.92 / $1,696.13	Professional		$268.42	$459.92	$1,696.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.61 / $1,184.61 / $1,973.56	Facility		$1,184.61	$1,184.61	$1,973.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.94 / $274.94 / $274.94	Professional		$274.94	$274.94	$274.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,247.65 / $1,805.22 / $6,816.71	Facility		$1,247.65	$1,805.22	$6,816.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.29 / $1,329.69 / $2,374.42	Professional		$594.29	$1,329.69	$2,374.42
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 $123.55 / $1,084.17 / $1,566.78	Facility		$123.55	$1,084.17	$1,566.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.19 / $265.52 / $704.36	Facility		$263.19	$265.52	$704.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.30 / $442.08 / $544.57	Professional		$273.30	$442.08	$544.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,321.81 / $8,267.12	Facility		$3,153.55	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $381.95 / $514.48	Professional		$268.42	$381.95	$514.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,343.15 / $6,857.00	Facility		$1,120.00	$1,343.15	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.80 / $419.65 / $560.94	Professional		$239.80	$419.65	$560.94