Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.99 / $3,016.00 / $11,522.02	Facility		$239.99	$3,016.00	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $298.82 / $685.05	Professional		$143.66	$298.82	$685.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,021.77 / $5,772.11 / $14,934.15	Facility		$1,021.77	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $238.01 / $578.94 / $2,624.70	Professional		$238.01	$578.94	$2,624.70
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 $213.00 / $394.46 / $923.04	Professional		$213.00	$394.46	$923.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $209.82 / $408.48 / $1,828.65	Facility		$209.82	$408.48	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.26 / $385.00 / $982.22	Professional		$208.26	$385.00	$982.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $443.43 / $722.75	Professional		$69.52	$443.43	$722.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.62 / $507.86 / $609.70	Facility		$258.62	$507.86	$609.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.87 / $417.21 / $839.66	Facility		$415.87	$417.21	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.78 / $411.46 / $765.67	Professional		$235.78	$411.46	$765.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,768.81 / $11,041.39	Facility		$4,408.99	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $405.47 / $704.34	Professional		$208.40	$405.47	$704.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.28 / $656.82 / $878.60	Professional		$368.28	$656.82	$878.60