Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $2,769.52 / $18,711.00	Facility		$124.77	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $87.26 / $186.83	Professional		$56.19	$87.26	$186.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $5,444.45 / $11,041.39	Facility		$89.24	$5,444.45	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $167.09 / $1,301.89	Professional		$101.98	$167.09	$1,301.89
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 $88.47 / $140.38 / $207.45	Professional		$88.47	$140.38	$207.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.97 / $154.57 / $5,453.39	Facility		$88.97	$154.57	$5,453.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $148.97 / $1,531.84	Professional		$93.31	$148.97	$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 $101.43 / $131.99 / $138.69	Facility		$101.43	$131.99	$138.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $93.69 / $839.66	Facility		$89.24	$93.69	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $154.63 / $192.15	Professional		$98.58	$154.63	$192.15
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 $91.01 / $134.35 / $181.53	Professional		$91.01	$134.35	$181.53
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 $85.79 / $142.43 / $195.03	Professional		$85.79	$142.43	$195.03