Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.03 / $810.02 / $18,711.00	Facility		$240.03	$810.02	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.78 / $309.07 / $757.18	Professional		$116.78	$309.07	$757.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $911.64 / $4,321.81 / $11,500.00	Facility		$911.64	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $235.85 / $582.76 / $2,255.28	Professional		$235.85	$582.76	$2,255.28
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 $207.82 / $396.34 / $933.18	Professional		$207.82	$396.34	$933.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $191.84 / $440.22 / $1,381.54	Facility		$191.84	$440.22	$1,381.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.84 / $406.78 / $926.95	Professional		$191.84	$406.78	$926.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $247.45 / $689.81	Professional		$39.78	$247.45	$689.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $227.20 / $564.20 / $620.41	Facility		$227.20	$564.20	$620.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.61 / $419.93 / $541.04	Facility		$418.61	$419.93	$541.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.56 / $418.61 / $779.14	Professional		$223.56	$418.61	$779.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,319.34 / $8,267.12	Facility		$3,153.55	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.09 / $399.31 / $708.98	Professional		$227.09	$399.31	$708.98
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 $374.10 / $539.40 / $893.10	Professional		$374.10	$539.40	$893.10