Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.01 / $5,128.00 / $20,680.40	Facility		$367.01	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $283.94 / $517.20	Professional		$259.66	$283.94	$517.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.80 / $4,348.10 / $8,407.56	Facility		$271.80	$4,348.10	$8,407.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $292.54 / $499.66 / $4,091.27	Professional		$292.54	$499.66	$4,091.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.59 / $1,250.59 / $2,083.48	Facility		$1,250.59	$1,250.59	$2,083.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $412.98 / $603.07	Professional		$264.64	$412.98	$603.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $252.09 / $491.53 / $4,178.28	Facility		$252.09	$491.53	$4,178.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $454.58 / $1,403.75	Professional		$259.29	$454.58	$1,403.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $373.70 / $612.53	Professional		$58.21	$373.70	$612.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.61 / $387.30 / $494.90	Facility		$326.61	$387.30	$494.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.80 / $276.02 / $726.24	Facility		$271.80	$276.02	$726.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.70 / $460.43 / $566.13	Professional		$290.70	$460.43	$566.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,256.00 / $4,350.13 / $8,407.56	Facility		$3,256.00	$4,350.13	$8,407.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $397.07 / $534.84	Professional		$277.20	$397.07	$534.84
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.35 / $414.40 / $594.66	Professional		$255.35	$414.40	$594.66