Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.25 / $5,116.62 / $18,800.00	Facility		$360.25	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.43 / $276.16 / $540.72	Professional		$205.43	$276.16	$540.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $267.80 / $18,231.29 / $37,102.31	Facility		$267.80	$18,231.29	$37,102.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $463.29 / $1,640.25	Professional		$282.01	$463.29	$1,640.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.76 / $410.93 / $591.04	Professional		$264.76	$410.93	$591.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $285.77 / $493.28 / $6,589.48	Facility		$285.77	$493.28	$6,589.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $454.58 / $4,307.12	Professional		$285.77	$454.58	$4,307.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $271.92 / $446.56	Professional		$43.16	$271.92	$446.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.49 / $383.30 / $421.26	Facility		$299.49	$383.30	$421.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.80 / $267.80 / $272.70	Facility		$267.80	$267.80	$272.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.99 / $446.71 / $549.26	Professional		$284.99	$446.71	$549.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $278.12 / $385.23 / $520.73	Professional		$278.12	$385.23	$520.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $421.82 / $571.19	Professional		$261.80	$421.82	$571.19