Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.13 / $5,116.62 / $18,711.00	Facility		$287.13	$5,116.62	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $209.95 / $409.96	Professional		$146.00	$209.95	$409.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,032.15 / $4,809.85 / $12,444.54	Facility		$3,032.15	$4,809.85	$12,444.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $364.18 / $1,760.09	Professional		$221.37	$364.18	$1,760.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $323.08 / $473.23	Professional		$198.38	$323.08	$473.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $356.42 / $4,829.01	Facility		$194.46	$356.42	$4,829.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.67 / $336.64 / $1,264.15	Professional		$201.67	$336.64	$1,264.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $275.27 / $450.34	Professional		$42.93	$275.27	$450.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.14 / $303.51 / $315.77	Facility		$229.14	$303.51	$315.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.93 / $214.33 / $676.20	Facility		$207.93	$214.33	$676.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.03 / $355.56 / $425.43	Professional		$225.03	$355.56	$425.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.68 / $4,807.10 / $9,200.71	Facility		$3,509.68	$4,807.10	$9,200.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.06 / $308.32 / $415.30	Professional		$212.06	$308.32	$415.30
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 $196.24 / $328.57 / $449.91	Professional		$196.24	$328.57	$449.91