Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.65 / $3,925.18 / $18,711.00	Facility		$356.65	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.99 / $259.33 / $503.94	Professional		$162.99	$259.33	$503.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,010.16 / $10,612.45 / $20,300.41	Facility		$6,010.16	$10,612.45	$20,300.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $273.30 / $456.08 / $3,317.06	Professional		$273.30	$456.08	$3,317.06
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 $247.05 / $401.31 / $585.97	Professional		$247.05	$401.31	$585.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $241.50 / $435.55 / $7,779.83	Facility		$241.50	$435.55	$7,779.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.83 / $411.55 / $2,569.84	Professional		$249.83	$411.55	$2,569.84
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 $278.55 / $372.04 / $392.94	Facility		$278.55	$372.04	$392.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.76 / $265.52 / $1,366.31	Facility		$257.76	$265.52	$1,366.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $440.56 / $544.57	Professional		$279.14	$440.56	$544.57
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 $262.88 / $381.95 / $514.48	Professional		$262.88	$381.95	$514.48
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 $245.62 / $408.26 / $559.03	Professional		$245.62	$408.26	$559.03