Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.73 / $713.37 / $17,100.00	Facility		$219.73	$713.37	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $233.13 / $615.00	Professional		$114.21	$233.13	$615.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $977.27 / $4,809.85 / $12,444.54	Facility		$977.27	$4,809.85	$12,444.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $512.23 / $2,006.48	Professional		$217.06	$512.23	$2,006.48
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 $193.41 / $361.47 / $826.17	Professional		$193.41	$361.47	$826.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $183.66 / $376.00 / $1,528.00	Facility		$183.66	$376.00	$1,528.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $333.06 / $879.37	Professional		$182.80	$333.06	$879.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $443.43 / $722.75	Professional		$69.52	$443.43	$722.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.53 / $460.36 / $545.38	Facility		$243.53	$460.36	$545.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.21 / $372.00 / $676.20	Facility		$364.21	$372.00	$676.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $372.00 / $681.89	Professional		$213.69	$372.00	$681.89
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 $208.99 / $367.49 / $630.04	Professional		$208.99	$367.49	$630.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,740.00 / $6,167.72 / $9,865.41	Facility		$3,740.00	$6,167.72	$9,865.41
United Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $457.79 / $783.97	Professional		$320.45	$457.79	$783.97