Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.52 / $1,733.00 / $18,711.00	Facility		$165.52	$1,733.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $121.14 / $339.83	Professional		$86.73	$121.14	$339.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,604.89 / $4,538.57 / $11,742.64	Facility		$2,604.89	$4,538.57	$11,742.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $214.98 / $2,500.00	Professional		$127.01	$214.98	$2,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.91 / $1,497.91 / $1,497.91	Facility		$1,497.91	$1,497.91	$1,497.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $231.70 / $368.62	Professional		$97.09	$231.70	$368.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.55 / $330.50 / $1,436.16	Facility		$121.55	$330.50	$1,436.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $264.37 / $734.00	Professional		$115.54	$264.37	$734.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $109.83 / $171.85	Professional		$17.55	$109.83	$171.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $180.90 / $565.91	Facility		$148.50	$180.90	$565.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.95 / $120.95 / $123.39	Facility		$120.95	$120.95	$123.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $206.20 / $246.80	Professional		$130.87	$206.20	$246.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,727.91 / $4,437.85 / $8,681.78	Facility		$2,727.91	$4,437.85	$8,681.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $177.50 / $242.51	Professional		$123.35	$177.50	$242.51
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 $117.74 / $213.25 / $438.31	Professional		$117.74	$213.25	$438.31