Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.91 / $5,128.00 / $20,680.40	Facility		$298.91	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $212.03 / $433.61	Professional		$170.62	$212.03	$433.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,933.00 / $24,075.80 / $46,054.28	Facility		$11,933.00	$24,075.80	$46,054.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $382.36 / $3,340.19	Professional		$230.08	$382.36	$3,340.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,570.89 / $17,570.89 / $17,570.89	Facility		$17,570.89	$17,570.89	$17,570.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.53 / $336.35 / $490.58	Professional		$223.53	$336.35	$490.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.13 / $403.82 / $15,409.08	Facility		$239.13	$403.82	$15,409.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.13 / $373.46 / $11,108.04	Professional		$239.13	$373.46	$11,108.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $254.26 / $412.09	Professional		$41.05	$254.26	$412.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $260.68 / $324.89 / $374.00	Facility		$260.68	$324.89	$374.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.59 / $225.59 / $225.76	Facility		$225.59	$225.59	$225.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $375.12 / $448.98	Professional		$238.07	$375.12	$448.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,816.01 / $24,075.80 / $46,054.28	Facility		$15,816.01	$24,075.80	$46,054.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $324.76 / $437.44	Professional		$230.08	$324.76	$437.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $306.82 / $475.98	Professional		$215.42	$306.82	$475.98