Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.65 / $355.89 / $18,711.00	Facility		$210.65	$355.89	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $218.55 / $487.30	Professional		$127.68	$218.55	$487.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $2,414.62 / $4,913.96	Facility		$144.47	$2,414.62	$4,913.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $208.57 / $382.49 / $1,409.04	Professional		$208.57	$382.49	$1,409.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $328.78 / $579.52	Professional		$188.16	$328.78	$579.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $170.58 / $288.30 / $610.30	Facility		$170.58	$288.30	$610.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $287.27 / $465.78	Professional		$175.06	$287.27	$465.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $277.14 / $455.28	Professional		$43.56	$277.14	$455.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.16 / $355.77 / $412.10	Facility		$221.16	$355.77	$412.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.13 / $254.13 / $260.49	Facility		$254.13	$254.13	$260.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.33 / $305.48 / $487.11	Professional		$205.33	$305.48	$487.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,665.80 / $2,567.40 / $4,913.96	Facility		$1,665.80	$2,567.40	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.82 / $300.14 / $441.18	Professional		$200.82	$300.14	$441.18
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 $247.72 / $396.96 / $548.91	Professional		$247.72	$396.96	$548.91