Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.26 / $784.23 / $18,711.00	Facility		$262.26	$784.23	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $231.81 / $654.92	Professional		$120.57	$231.81	$654.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $652.44 / $10,153.40 / $20,663.07	Facility		$652.44	$10,153.40	$20,663.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $255.80 / $546.23 / $2,056.57	Professional		$255.80	$546.23	$2,056.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.85 / $429.88 / $825.29	Professional		$229.85	$429.88	$825.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $425.33 / $3,225.00	Facility		$227.81	$425.33	$3,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $407.67 / $876.39	Professional		$227.81	$407.67	$876.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $441.94 / $722.50	Professional		$69.77	$441.94	$722.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $526.19 / $563.72	Facility		$282.07	$526.19	$563.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.37 / $375.54 / $1,239.50	Facility		$373.37	$375.54	$1,239.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.88 / $387.33 / $713.79	Professional		$254.88	$387.33	$713.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,156.89 / $10,795.86 / $20,663.07	Facility		$7,156.89	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $228.32 / $383.00 / $632.36	Professional		$228.32	$383.00	$632.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.39 / $572.01 / $799.49	Professional		$344.39	$572.01	$799.49