Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.27 / $5,373.44 / $17,100.00	Facility		$379.27	$5,373.44	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.65 / $266.36 / $549.02	Professional		$196.65	$266.36	$549.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.40 / $5,772.11 / $14,934.15	Facility		$3,478.40	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $486.01 / $1,955.80	Professional		$292.58	$486.01	$1,955.80
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 $271.16 / $426.76 / $626.03	Professional		$271.16	$426.76	$626.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $258.45 / $475.70 / $4,418.00	Facility		$258.45	$475.70	$4,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.58 / $466.01 / $1,531.84	Professional		$260.58	$466.01	$1,531.84
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 $310.56 / $405.73 / $416.74	Facility		$310.56	$405.73	$416.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.24 / $284.25 / $839.66	Facility		$277.24	$284.25	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $474.15 / $583.00	Professional		$292.58	$474.15	$583.00
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 $282.74 / $408.90 / $550.78	Professional		$282.74	$408.90	$550.78
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 $267.51 / $403.70 / $595.70	Professional		$267.51	$403.70	$595.70