Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.71 / $5,128.00 / $18,800.00	Facility		$238.71	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $165.15 / $351.59	Professional		$133.62	$165.15	$351.59
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 $182.95 / $307.27 / $2,068.84	Professional		$182.95	$307.27	$2,068.84
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 $178.29 / $268.60 / $391.51	Professional		$178.29	$268.60	$391.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $202.24 / $320.70 / $8,820.59	Facility		$202.24	$320.70	$8,820.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.07 / $297.70 / $4,506.52	Professional		$198.07	$297.70	$4,506.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $254.26 / $412.09	Professional		$41.05	$254.26	$412.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $210.02 / $262.20 / $309.39	Facility		$210.02	$262.20	$309.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $181.43	Facility		$179.39	$179.39	$181.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.71 / $302.08 / $361.55	Professional		$191.71	$302.08	$361.55
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 $182.95 / $260.98 / $351.54	Professional		$182.95	$260.98	$351.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $247.09 / $383.30	Professional		$172.48	$247.09	$383.30