Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.87 / $2,769.52 / $18,711.00	Facility		$271.87	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $193.24 / $385.95	Professional		$140.97	$193.24	$385.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $12,000.00	Facility		$3,518.34	$5,772.11	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $211.99 / $364.37 / $2,142.87	Professional		$211.99	$364.37	$2,142.87
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 $191.34 / $305.92 / $453.15	Professional		$191.34	$305.92	$453.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $338.78 / $5,453.39	Facility		$183.96	$338.78	$5,453.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.33 / $330.99 / $1,531.84	Professional		$185.33	$330.99	$1,531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $221.93 / $361.44	Professional		$34.22	$221.93	$361.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $285.42 / $299.88	Facility		$219.48	$285.42	$299.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.60 / $204.28 / $839.66	Facility		$196.60	$204.28	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.27 / $339.86 / $418.97	Professional		$210.27	$339.86	$418.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $291.98 / $395.82	Professional		$200.51	$291.98	$395.82
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 $188.98 / $294.27 / $423.84	Professional		$188.98	$294.27	$423.84