Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.77 / $5,128.00 / $18,800.00	Facility		$380.77	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $272.75 / $557.05	Professional		$188.50	$272.75	$557.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,445.31 / $9,920.39 / $23,371.01	Facility		$6,445.31	$9,920.39	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $479.11 / $2,955.47	Professional		$285.52	$479.11	$2,955.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,790.91 / $4,790.91 / $4,790.91	Facility		$4,790.91	$4,790.91	$4,790.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $428.45 / $624.88	Professional		$279.39	$428.45	$624.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.33 / $467.94 / $8,820.59	Facility		$288.33	$467.94	$8,820.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $461.75 / $3,028.74	Professional		$288.33	$461.75	$3,028.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $261.95 / $435.45	Professional		$43.16	$261.95	$435.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.87 / $378.59 / $435.88	Facility		$309.87	$378.59	$435.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $279.95 / $282.88	Facility		$279.95	$279.95	$282.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $469.48 / $561.90	Professional		$297.95	$469.48	$561.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,591.22 / $9,027.82 / $17,279.07	Facility		$6,591.22	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $406.93 / $548.12	Professional		$285.52	$406.93	$548.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $366.60 / $595.70	Professional		$262.73	$366.60	$595.70