Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.10 / $931.43 / $18,711.00	Facility		$461.10	$931.43	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $372.16 / $746.57	Professional		$258.83	$372.16	$746.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.56 / $9,032.98 / $23,371.01	Facility		$1,167.56	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $437.70 / $723.14 / $2,534.56	Professional		$437.70	$723.14	$2,534.56
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 $376.47 / $641.98 / $1,041.07	Professional		$376.47	$641.98	$1,041.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $340.38 / $628.82 / $2,923.63	Facility		$340.38	$628.82	$2,923.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.03 / $604.16 / $1,086.36	Professional		$363.03	$604.16	$1,086.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $465.39 / $773.96	Professional		$76.45	$465.39	$773.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $458.85 / $655.03 / $724.20	Facility		$458.85	$655.03	$724.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.57 / $477.57 / $482.45	Facility		$477.57	$477.57	$482.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.62 / $623.76 / $868.40	Professional		$435.62	$623.76	$868.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $9,027.82 / $17,279.07	Facility		$5,857.48	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $409.69 / $575.70 / $808.83	Professional		$409.69	$575.70	$808.83
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 $428.40 / $592.19 / $1,008.94	Professional		$428.40	$592.19	$1,008.94