Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.45 / $2,693.86 / $11,096.10	Facility		$272.45	$2,693.86	$11,096.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $283.14 / $643.99	Professional		$163.34	$283.14	$643.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $699.64 / $5,772.11 / $14,934.15	Facility		$699.64	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.62 / $600.48 / $2,544.21	Professional		$271.62	$600.48	$2,544.21
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 $241.09 / $424.13 / $969.65	Professional		$241.09	$424.13	$969.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $231.82 / $397.67 / $1,828.65	Facility		$231.82	$397.67	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.82 / $383.68 / $1,023.75	Professional		$231.82	$383.68	$1,023.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $500.86 / $819.78	Professional		$77.73	$500.86	$819.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.13 / $496.78 / $641.86	Facility		$294.13	$496.78	$641.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.88 / $437.81 / $839.66	Facility		$434.88	$437.81	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.41 / $437.81 / $802.52	Professional		$267.41	$437.81	$802.52
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 $238.56 / $443.52 / $741.49	Professional		$238.56	$443.52	$741.49
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 $346.92 / $553.41 / $922.05	Professional		$346.92	$553.41	$922.05