Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.15 / $2,769.52 / $18,711.00	Facility		$555.15	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $427.70 / $748.09	Professional		$221.13	$427.70	$748.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $4,062.29 / $8,267.12	Facility		$618.00	$4,062.29	$8,267.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $429.19 / $764.43 / $2,668.28	Professional		$429.19	$764.43	$2,668.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.63 / $934.63 / $1,557.08	Facility		$934.63	$934.63	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.90 / $630.33 / $946.45	Professional		$355.90	$630.33	$946.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $360.79 / $594.03 / $1,990.93	Facility		$360.79	$594.03	$1,990.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.38 / $587.41 / $1,049.08	Professional		$372.38	$587.41	$1,049.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $294.16 / $693.40	Professional		$45.93	$294.16	$693.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.45 / $546.72 / $619.75	Facility		$392.45	$546.72	$619.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.78 / $422.73 / $541.04	Facility		$411.78	$422.73	$541.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.12 / $700.79 / $867.00	Professional		$435.12	$700.79	$867.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $419.96 / $608.10 / $819.09	Professional		$419.96	$608.10	$819.09
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.53 / $662.83 / $889.22	Professional		$366.53	$662.83	$889.22