Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $2,769.52 / $18,711.00	Facility		$145.41	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $351.70 / $653.54	Professional		$88.51	$351.70	$653.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $463.75 / $1,740.76 / $3,405.45	Facility		$463.75	$1,740.76	$3,405.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $674.31 / $2,716.80	Professional		$140.44	$674.31	$2,716.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $787.12 / $787.12 / $787.12	Facility		$787.12	$787.12	$787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.94 / $446.64 / $1,124.07	Professional		$126.94	$446.64	$1,124.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $530.33 / $1,200.68	Facility		$151.80	$530.33	$1,200.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $497.60 / $1,057.39	Professional		$143.88	$497.60	$1,057.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $583.59 / $968.52	Professional		$95.67	$583.59	$968.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.46 / $719.37 / $826.78	Facility		$159.46	$719.37	$826.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.61 / $503.61 / $520.04	Facility		$503.61	$503.61	$520.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $264.63 / $923.15	Professional		$136.78	$264.63	$923.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,359.85 / $1,804.54 / $3,405.45	Facility		$1,359.85	$1,804.54	$3,405.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $244.31 / $852.95	Professional		$134.84	$244.31	$852.95
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 $530.63 / $765.09 / $1,170.69	Professional		$530.63	$765.09	$1,170.69