Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.86 / $542.39 / $14,464.32	Facility		$153.86	$542.39	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $212.62 / $402.62	Professional		$105.31	$212.62	$402.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $9,032.98 / $17,279.07	Facility		$487.00	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $342.66 / $2,322.16	Professional		$150.36	$342.66	$2,322.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $249.32 / $566.91	Professional		$133.22	$249.32	$566.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $304.17 / $2,601.75	Facility		$142.44	$304.17	$2,601.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $293.70 / $647.19	Professional		$135.16	$293.70	$647.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $270.32 / $433.99	Professional		$43.62	$270.32	$433.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.69 / $362.14 / $476.84	Facility		$205.69	$362.14	$476.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.92 / $255.92 / $260.02	Facility		$255.92	$255.92	$260.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $245.00 / $469.11	Professional		$148.03	$245.00	$469.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,650.51 / $8,832.54 / $17,279.07	Facility		$5,650.51	$8,832.54	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $254.57 / $433.44	Professional		$140.50	$254.57	$433.44
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.40 / $385.83 / $548.41	Professional		$235.40	$385.83	$548.41