Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $478.18 / $17,100.00	Facility		$60.65	$478.18	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $123.92 / $276.44	Professional		$33.92	$123.92	$276.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $255.58 / $1,780.27 / $11,500.00	Facility		$255.58	$1,780.27	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $272.29 / $1,056.64	Professional		$59.42	$272.29	$1,056.64
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 $53.98 / $188.00 / $437.15	Professional		$53.98	$188.00	$437.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $250.39 / $552.04	Facility		$54.50	$250.39	$552.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $200.31 / $473.45	Professional		$53.97	$200.31	$473.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $213.89 / $352.31	Professional		$34.76	$213.89	$352.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $274.50 / $326.39	Facility		$67.67	$274.50	$326.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.60 / $195.60 / $206.12	Facility		$195.60	$195.60	$206.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $108.97 / $358.54	Professional		$56.32	$108.97	$358.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,279.54 / $1,780.27 / $3,405.45	Facility		$1,279.54	$1,780.27	$3,405.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $100.60 / $331.27	Professional		$54.06	$100.60	$331.27
United Facility/Professional Facility Modifier Low / Median / High Price $548.60 / $648.00 / $4,611.00	Facility		$548.60	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $273.76 / $438.72	Professional		$196.51	$273.76	$438.72