Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.52 / $5,116.62 / $20,680.40	Facility		$139.52	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $139.52 / $158.19	Professional		$84.56	$139.52	$158.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.14 / $1,935.85 / $3,754.25	Facility		$1,186.14	$1,935.85	$3,754.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $312.62 / $4,471.30	Professional		$173.25	$312.62	$4,471.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.17 / $449.17 / $748.32	Facility		$449.17	$449.17	$748.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.16 / $527.16 / $527.16	Professional		$527.16	$527.16	$527.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $473.07 / $684.49 / $2,947.23	Facility		$473.07	$684.49	$2,947.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.07 / $656.24 / $1,102.95	Professional		$473.07	$656.24	$1,102.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $441.60 / $652.00	Facility		$135.66	$441.60	$652.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.75 / $183.71 / $306.32	Facility		$180.75	$183.71	$306.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $294.60 / $376.79	Professional		$189.10	$294.60	$376.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.56 / $1,934.75 / $3,703.07	Facility		$1,412.56	$1,934.75	$3,703.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $1,214.86 / $1,750.63	Professional		$173.25	$1,214.86	$1,750.63
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $327.12 / $437.26	Professional		$191.55	$327.12	$437.26