Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $5,128.00 / $18,800.00	Facility		$217.92	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $162.66 / $313.26	Professional		$137.30	$162.66	$313.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,749.10 / $16,173.23 / $29,789.77	Facility		$9,749.10	$16,173.23	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $281.62 / $1,442.43	Professional		$167.46	$281.62	$1,442.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $245.20 / $357.58	Professional		$161.19	$245.20	$357.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.73 / $309.93 / $8,820.59	Facility		$186.73	$309.93	$8,820.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.23 / $269.38 / $4,506.52	Professional		$179.23	$269.38	$4,506.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $159.90 / $261.09	Professional		$25.86	$159.90	$261.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $234.49 / $281.64	Facility		$192.06	$234.49	$281.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $161.72 / $162.69	Facility		$161.72	$161.72	$162.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $270.12 / $323.30	Professional		$171.43	$270.12	$323.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $234.03 / $315.24	Professional		$164.93	$234.03	$315.24
United Facility/Professional Facility Modifier Low / Median / High Price $12,579.00 / $19,333.91 / $31,511.89	Facility		$12,579.00	$19,333.91	$31,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $211.12 / $342.75	Professional		$156.19	$211.12	$342.75