Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.53 / $2,769.52 / $18,711.00	Facility		$141.53	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $99.93 / $208.41	Professional		$68.27	$99.93	$208.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,497.26 / $5,772.11 / $12,000.00	Facility		$3,497.26	$5,772.11	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $189.24 / $658.05	Professional		$110.45	$189.24	$658.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $159.26 / $235.05	Professional		$101.61	$159.26	$235.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $180.71 / $4,102.09	Facility		$96.76	$180.71	$4,102.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $174.48 / $1,531.84	Professional		$101.05	$174.48	$1,531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.74 / $150.65 / $154.77	Facility		$113.74	$150.65	$154.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $105.57 / $839.66	Facility		$101.47	$105.57	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $175.03 / $216.52	Professional		$110.45	$175.03	$216.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,742.95 / $5,768.81 / $11,041.39	Facility		$3,742.95	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $151.63 / $204.55	Professional		$103.49	$151.63	$204.55
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 $98.56 / $160.76 / $220.13	Professional		$98.56	$160.76	$220.13