Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.17 / $4,500.00 / $17,967.00	Facility		$165.17	$4,500.00	$17,967.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $165.17 / $317.89	Professional		$99.75	$165.17	$317.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,308.60 / $9,124.02 / $23,606.56	Facility		$5,308.60	$9,124.02	$23,606.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $294.64 / $1,035.23	Professional		$168.87	$294.64	$1,035.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $248.85 / $374.72	Professional		$154.46	$248.85	$374.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.57 / $264.79 / $4,358.93	Facility		$154.57	$264.79	$4,358.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $256.04 / $2,225.36	Professional		$161.32	$256.04	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $167.04 / $273.41	Professional		$25.91	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.09 / $230.10 / $240.53	Facility		$169.09	$230.10	$240.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $164.06 / $1,140.42	Facility		$157.63	$164.06	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.24 / $270.12 / $336.49	Professional		$173.24	$270.12	$336.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $236.01 / $317.89	Professional		$160.78	$236.01	$317.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $242.89 / $342.75	Professional		$148.28	$242.89	$342.75