Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $2,627.29 / $8,500.00	Facility		$170.77	$2,627.29	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $304.89 / $713.74	Professional		$78.73	$304.89	$713.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $285.95 / $1,874.13 / $3,814.01	Facility		$285.95	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $670.42 / $2,694.24	Professional		$145.91	$670.42	$2,694.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $334.98 / $1,132.07	Professional		$133.66	$334.98	$1,132.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.09 / $515.84 / $1,254.73	Facility		$132.09	$515.84	$1,254.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $411.99 / $1,209.39	Professional		$132.09	$411.99	$1,209.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $608.70 / $1,001.16	Professional		$95.23	$608.70	$1,001.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.17 / $710.76 / $982.89	Facility		$168.17	$710.76	$982.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.59 / $498.59 / $519.59	Facility		$498.59	$498.59	$519.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $274.64 / $989.65	Professional		$141.94	$274.64	$989.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $272.50 / $847.16	Professional		$134.63	$272.50	$847.16
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 $545.16 / $811.13 / $1,236.06	Professional		$545.16	$811.13	$1,236.06