Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.85 / $546.42 / $17,100.00	Facility		$238.85	$546.42	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $237.69 / $525.46	Professional		$120.16	$237.69	$525.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.75 / $10,612.45 / $20,300.41	Facility		$1,058.75	$10,612.45	$20,300.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $224.05 / $401.61 / $1,991.24	Professional		$224.05	$401.61	$1,991.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.49 / $358.24 / $662.35	Professional		$209.49	$358.24	$662.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.69 / $323.14 / $3,163.58	Facility		$194.69	$323.14	$3,163.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.69 / $318.36 / $695.62	Professional		$194.69	$318.36	$695.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $333.91 / $546.52	Professional		$51.83	$333.91	$546.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.00 / $393.29 / $438.18	Facility		$239.00	$393.29	$438.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.73 / $298.88 / $1,366.31	Facility		$291.73	$298.88	$1,366.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.60 / $336.62 / $547.86	Professional		$231.60	$336.62	$547.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $10,606.39 / $20,300.41	Facility		$6,881.70	$10,606.39	$20,300.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $326.10 / $506.20	Professional		$226.51	$326.10	$506.20
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 $263.56 / $471.65 / $662.46	Professional		$263.56	$471.65	$662.46