Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.32 / $559.12 / $17,100.00	Facility		$198.32	$559.12	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $203.38 / $519.38	Professional		$102.34	$203.38	$519.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $874.44 / $4,538.57 / $11,742.64	Facility		$874.44	$4,538.57	$11,742.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $462.15 / $1,693.76	Professional		$197.65	$462.15	$1,693.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.91 / $1,497.91 / $1,497.91	Facility		$1,497.91	$1,497.91	$1,497.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $318.45 / $699.59	Professional		$170.63	$318.45	$699.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.39 / $333.68 / $1,009.22	Facility		$186.39	$333.68	$1,009.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $318.93 / $734.00	Professional		$184.33	$318.93	$734.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $361.42 / $591.25	Professional		$58.80	$361.42	$591.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.40 / $398.65 / $477.36	Facility		$214.40	$398.65	$477.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.01 / $318.01 / $318.52	Facility		$318.01	$318.01	$318.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $310.35 / $580.04	Professional		$187.35	$310.35	$580.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,727.91 / $4,437.85 / $8,681.78	Facility		$2,727.91	$4,437.85	$8,681.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $313.76 / $539.48	Professional		$176.09	$313.76	$539.48
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 $211.50 / $376.65 / $676.80	Professional		$211.50	$376.65	$676.80