Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.14 / $806.89 / $17,100.00	Facility		$275.14	$806.89	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $266.83 / $719.95	Professional		$157.43	$266.83	$719.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,219.11 / $10,612.45 / $20,300.41	Facility		$1,219.11	$10,612.45	$20,300.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $583.58 / $2,654.97	Professional		$271.02	$583.58	$2,654.97
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 $241.08 / $449.42 / $933.57	Professional		$241.08	$449.42	$933.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $232.76 / $453.04 / $3,163.58	Facility		$232.76	$453.04	$3,163.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.99 / $427.00 / $992.46	Professional		$229.99	$427.00	$992.46
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 $288.10 / $535.33 / $617.74	Facility		$288.10	$535.33	$617.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.95 / $421.35 / $1,366.31	Facility		$414.95	$421.35	$1,366.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $421.35 / $772.36	Professional		$266.81	$421.35	$772.36
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 $260.95 / $423.19 / $713.63	Professional		$260.95	$423.19	$713.63
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,802.00 / $7,373.90	Facility		$879.00	$1,802.00	$7,373.90
United Facility/Professional Professional Modifier Low / Median / High Price $369.80 / $651.52 / $877.81	Professional		$369.80	$651.52	$877.81