Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.17 / $5,128.00 / $18,800.00	Facility		$421.17	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.88 / $294.35 / $648.54	Professional		$227.88	$294.35	$648.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,650.51 / $9,032.98 / $23,371.01	Facility		$5,650.51	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $329.75 / $550.54 / $2,061.38	Professional		$329.75	$550.54	$2,061.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $464.33 / $697.20	Professional		$308.30	$464.33	$697.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $350.73 / $556.08 / $3,300.02	Facility		$350.73	$556.08	$3,300.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.18 / $515.63 / $2,378.91	Professional		$342.18	$515.63	$2,378.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $334.03 / $545.81	Professional		$55.22	$334.03	$545.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $367.33 / $446.47 / $500.49	Facility		$367.33	$446.47	$500.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $313.93 / $320.36	Facility		$313.93	$313.93	$320.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.13 / $528.05 / $635.88	Professional		$335.13	$528.05	$635.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,700.71 / $8,832.54 / $17,279.07	Facility		$5,700.71	$8,832.54	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.17 / $460.84 / $620.74	Professional		$320.17	$460.84	$620.74
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 $297.88 / $453.60 / $670.24	Professional		$297.88	$453.60	$670.24